Distal catheter lengthening in pediatric patients with hydrocephalus using a guidewire-assisted technique

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dc.contributor.authorPoca, Maria A.
dc.contributor.authorCano Granda, Jannet Paola
dc.contributor.authorMunar Bauzá, Francisca
dc.contributor.authorGonzález, Diego
dc.contributor.authorRosas Soto, Katiuska Carolina
dc.contributor.authorSahuquillo, Juan
dc.date.accessioned2020-04-26T20:01:22Z
dc.date.available2020-04-26T20:01:22Z
dc.date.issued2020
dc.description.abstractenglishPurpose The aim of this study was to evaluate the lengthening or replacement of the peritoneal catheter in a ventriculoperitoneal shunt by using a simple guidewire-assisted technique. Here we report on our experience with this methodology, its indications, caveats, and contraindications. Methods A prospective study was performed in 59 consecutively shunted children who required elective lengthening of the peritoneal catheter (25 females and 34 males, mean 10.5 + 4.2 years). The procedure required an incision of only 1 cm over the distal catheter. The catheter was sectioned, and a soft hydrophilic guidewire was inserted into the exposed end of it, which serves as a route for the guidewire to reach the intraperitoneal space. The procedure was followed by the replacement of the patient’s catheter with one with additional length as considered appropriate, prior to putting additional slots in the last 5 to 8 cm of the new catheter. Results The technique was used in 62 CSF shunts (3 patients had a double derivative system). Fifty-five of the 62 (89%) procedures performed were effective. A conventional peritoneal opening technique was used in the 7 unsuccessful attempts. One patient presented a migration of the abdominal catheter during the first days after surgery. No incident of peritoneal perforation was associated with this technique, nor were any infections or other early or late complications associated with this surgical procedure. Conclusion The technique we propose permits the peritoneal catheter of a derivative system to be lengthened or replaced in a manner that is simple, fast, and safeeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.aller.2019.10.007
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn0256-7040
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2395
dc.language.isoeng
dc.publisherSpringer Naturespa
dc.publisher.journalChild's nervous systemspa
dc.relation.ispartofseriesChild's nervous system, 0256-7040, 2020spa
dc.relation.urihttps://www.sciencedirect.com/science/article/abs/pii/S0301054620300410?via%3Dihub
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf260
dc.rights.creativecommons2020
dc.rights.localAcceso cerradospa
dc.subject.decsDerivación ventriculoperitonealspa
dc.subject.decsDerivación y consultaspa
dc.subject.decsCavidad peritonealspa
dc.subject.keywordsDistal catheter lengtheningspa
dc.subject.keywordsHydrocephalusspa
dc.subject.keywordsGuidewirespa
dc.titleDistal catheter lengthening in pediatric patients with hydrocephalus using a guidewire-assisted techniquespa
dc.title.translatedDistal catheter lengthening in pediatric patients with hydrocephalus using a guidewire-assisted technique
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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Maria A. Poca ,Paola Cano ,Francisca Munar ,Diego González ,Katiuska Rosas yJuan Sahuquillo _2020.pdf
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