scholarly journals Letter: Transesophageal Echocardiography-Guided Ventriculoatrial Shunt Insertion

2020 ◽  
Vol 20 (1) ◽  
pp. E73-E73 ◽  
Author(s):  
Giuseppe Maria Della Pepa ◽  
Carmelo Lucio Sturiale ◽  
Vito Stifano
Keyword(s):  
Transesophageal Echocardiography ◽  
Ventriculoatrial Shunt ◽  
Shunt Insertion

scholarly journals In Reply: Transesophageal Echocardiography-Guided Ventriculoatrial Shunt Insertion

2020 ◽  
Vol 20 (1) ◽  
pp. E74-E74
Author(s):  
Mark G Hamilton ◽  
Danae Krahn ◽  
Andrew M Walker ◽  
Albert M Isaacs ◽  
Heather Hurdle
Keyword(s):  
Transesophageal Echocardiography ◽  
Ventriculoatrial Shunt ◽  
Shunt Insertion

scholarly journals Letter: Transesophageal Echocardiography-Guided Ventriculoatrial Shunt Insertion

2020 ◽  
Vol 19 (3) ◽  
pp. E333-E333 ◽  
Author(s):  
Ezequiel García-Ballestas ◽  
Rafael Martinez-Perez ◽  
Amit Agrawal ◽  
Luis-Rafael Moscote-Salazar
Keyword(s):  
Transesophageal Echocardiography ◽  
Ventriculoatrial Shunt ◽  
Shunt Insertion

In Reply: Transesophageal Echocardiography-Guided Ventriculoatrial Shunt Insertion

2020 ◽  
Vol 19 (3) ◽  
pp. E334-E334
Author(s):  
Mark G Hamilton ◽  
Danae Krahn ◽  
Andrew M Walker ◽  
Heather Hurdle ◽  
Albert M Isaacs
Keyword(s):  
Transesophageal Echocardiography ◽  
Ventriculoatrial Shunt ◽  
Shunt Insertion

Transesophageal Echocardiography-Guided Ventriculoatrial Shunt Insertion

2019 ◽  
Vol 19 (1) ◽  
pp. 25-31
Author(s):  
Albert McAnsah Isaacs ◽  
Danae Krahn ◽  
Andrew M Walker ◽  
Heather Hurdle ◽  
Mark G Hamilton
Keyword(s):  
Transesophageal Echocardiography ◽  
Perioperative Complications ◽  
Superior Vena ◽  
Vena Cava ◽  
Shunt Revision ◽  
Shunt Valve ◽  
Shunt Insertion ◽  
Distal Catheter ◽  
Shunt Placement ◽  
Time Required

Abstract BACKGROUND Determining an optimal location within the right atrium (RA) for placement of the distal ventriculoatrial (VA) shunt catheter offer several operative challenges that place patients at risk for perioperative complications and downstream VA shunt failure. Utilizing transesophageal echocardiography (TEE) guidance to place distal VA shunt catheters may help to circumvent these risks. OBJECTIVE To review our current practice of VA shunt insertion using TEE guidance. METHODS A retrospective review of all consecutive patients who underwent VA shunt procedures between December 19, 2016 and January 22, 2019, during which time intraoperative TEE was used for shunt placement was performed. Data on the time required for shunt placement and total procedure time, baseline echocardiography findings, and short- and long-term complications of shunt placement were assessed. RESULTS A total of 33 patients underwent VA shunt procedures, with a median follow-up time of 250 (88-412) d. The only immediate complication related to shunt placement or TEE use was transient ectopy in 1 patient. The mean time for atrial catheter insertion was 12.6 ± 4.8 min. Right-heart catheters were inserted between the RA-superior vena cava junction and 22 mm within the RA in all but 3 procedures. A total of 7/33 patients (21%) underwent shunt revision. Indications for revisions included distal clots, proximal obstruction, positive blood culture, and shunt valve revision. No other complications of VA shunt insertion were reported. CONCLUSION VA shunt insertion using TEE allows for precise distal catheter placement. Early patient experience confirms this technique has a low complication rate.

Calcified Right Atrial and Pulmonary Artery Mass After Ventriculoatrial Shunt Insertion

2011 ◽  
Vol 65 (6) ◽  
pp. 363 ◽  
Author(s):  
Emir Mujanovic ◽  
Jacob Bergsland ◽  
Stjepan Jurcic ◽  
Sevleta Avdic ◽  
Sanja StanimirovicMujanovic ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Right Atrial ◽  
Ventriculoatrial Shunt ◽  
Shunt Insertion

Transesophageal echocardiography: a simple method for monitoring the patency of ventriculoatrial shunts

1991 ◽  
Vol 74 (6) ◽  
pp. 1018-1020 ◽  
Author(s):  
Luc Calliauw ◽  
Johan Vandenbogaerde ◽  
Okito Kalala ◽  
Jacques Caemaert ◽  
Frédéric Martens ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Cerebrospinal Fluid Leak ◽  
Early Experience ◽  
Accurate Assessment ◽  
Ventriculoatrial Shunt ◽  
Simple Method ◽  
Content Type ◽  
Incidental Discovery ◽  
The Right ◽  
Fluid Leak

✓ A new method for evaluating the patency of a ventriculoatrial shunt is described, and early experience with it is reported. Transesophageal echocardiography can demonstrate a cerebrospinal fluid leak in the right atrium through the atrial tip of a shunting device. This capability was an incidental discovery, and since then the accuracy of the technique in evaluating the patency of a ventriculoatrial shunt has been prospectively studied in 20 observations of 16 patients. The method proved to be accurate in 90% to 100% of cases. It is concluded that transesophageal echocardiography offers a rapid and accurate assessment of ventriculoatrial shunt function, is well tolerated, and is easy to perform.

Ventriculoatrial Shunt Distal Catheter Placement Using Transesophageal Echocardiography

Neurosurgery ◽  
1992 ◽  
Vol 30 (5) ◽  
pp. 747-749 ◽  
Author(s):  
Kevin M. McGrail ◽  
Donald A. Muzzi ◽  
Thomas J. Losasso ◽  
Fredric B. Meyer
Keyword(s):  
Transesophageal Echocardiography ◽  
Catheter Placement ◽  
Ventriculoatrial Shunt ◽  
Distal Catheter
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