Removal of disconnected ventricular catheter
https://www.neuroendo.net/wp-content/uploads/2020/09/2020-09-14_13-20-00.png 905 505 Spyros Sgouros Spyros Sgouros http://www.neuroendo.net/wp-content/uploads/2017/10/SSgouros-2016-96x96.jpgRemoval of disconnected ventricular catheter
Diagnosis: Hydrocephalus
- 11-years-old boy
- Diagnosed some time before with DIPG and hydrocephalus. Shunted. Now presented with blocked shunt
- During shunt revision the ventricular catheter disconnected from the reservoir during elevation of the reservoir and attempt to remove it. It never came out of the parenchyma and fell in to the lateral ventricle
EQUIPMENT USED
- Storz Little Lotta endoscope with 0º optic lens
- Grabbing forceps
SURGICAL TIPS
- Find the part of the catheter which is in the ventricular cavity
- Grab the catheter as close to the proximal end as possible and pull it out by removing the endoscope while grabbing the catheter
Pre op
