PDF herunterladen
Semin intervent Radiol 2012; 29(02): 129-134
DOI: 10.1055/s-0032-1312574
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Percutaneous Placement and Management of Peritoneovenous Shunts

Louis G. Martin
1   Department of Radiology, Emory University School of Medicine, Atlanta, Georgia
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
14. Juni 2012 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Abstract

Peritoneovenous shunts are used in the treatment of recurrent ascites or recurrent pleural effusions. Generally speaking, the shunts allow passage of ascites or pleural effusions (by either passive or active means) back into the central venous system. The most recent development in peritoneovenous shunts, known as the Denver Shunt, is a modification of a shunt developed for the treatment of hydrocephalus. In recent years, the Denver shunt has been placed by interventional radiologists. It is used to treat both cirrhotic and malignant effusions in the peritoneal and pleural cavities. Reported complications of the shunt are shunt occlusion, infection, post-shunt coagulopathy, deep vein thrombosis, catheter breakage, and leaks. This article discusses the technical aspects related to the percutaneous placement and maintenance of the Denver Shunt.

Keywords

ascites - pleural effusion - catheter drainage - shunts - interventional radiology
 

  • References

  • 1 Leveen HH, Christoudias G, Moon IP, Luft R, Falk G, Grosberg S. Peritoneo-venous shunting for ascites. Ann Surg 1974; 180 (4) 580-591
    CrossrefPubMedGoogle Scholar
  • 2 Kirsch WM, Newkirk JB, Predecki PK. Clinical experience with the Denver shunt: a new silicone-rubber shunting device for the treatment of hydrocephalus. Technical note. J Neurosurg 1970; 32 (2) 258-264
    PubMedGoogle Scholar
  • 3 Orsi F, Grasso RF, Bonomo G, Monti C, Marinucci I, Bellomi M. Percutaneous peritoneovenous shunt positioning: technique and preliminary results. Eur Radiol 2002; 12 (5) 1188-1192
    CrossrefPubMedGoogle Scholar
  • 4 Seike M, Maetani I, Sakai Y. Treatment of malignant ascites in patients with advanced cancer: peritoneovenous shunt versus paracentesis. J Gastroenterol Hepatol 2007; 22 (12) 2161-2166
    CrossrefPubMedGoogle Scholar
  • 5 Inoue Y, Hayashi M, Hirokawa F, Takeshita A, Tanigawa N. Peritoneovenous shunt for intractable ascites due to hepatic lymphorrhea after hepatectomy. World J Gastrointest Surg 2011; 3 (1) 16-20
    PubMedGoogle Scholar
  • 6 Savader SJ, Lund G, Scheel PJ, Prescott C, Feeley N, Singh H , et al. Guide wire directed manipulation of malfunctioning peritoneal dialysis catheters: a critical analysis. J Vasc Intervent Radiol 1997; 8 (6) 957-963
    CrossrefPubMedGoogle Scholar