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J Neurol Surg A Cent Eur Neurosurg 2016; 77(01): 073-076
DOI: 10.1055/s-0034-1396439
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Interventional Laser-assisted Extraction of an Infected Trapped Ventriculoatrial Shunt Based on Techniques for Pacemaker Lead Explantation

Dirk Bastian
1   Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany
,
Klaus Fessele
1   Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany
,
Piotr Bednarski
2   Department of Cardiovascular Surgery, Bern University Hospital, Bern, Switzerland
,
Konrad Göhl
1   Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany
› Author Affiliations
Further Information

Publication History

11 April 2014

15 September 2014

Publication Date:
27 April 2015 (online)

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Abstract

We present a case of successful interventional laser-assisted extraction of an endovascularly trapped long-term implanted ventriculoatrial shunt in a patient with shunt-associated septicemia. This approach is based on modified techniques for explantation of pacemaker leads and might be considered an additional option for extraction of otherwise nonremovable trapped endovascular catheters in experienced centers.

Keywords

shunt catheter - catheter-related infection - hydrocephalus - laser - explantation
 

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