Key result
Intravascular repositioning of a misdirected ventriculoatrial shunt into the right atrium was successfully accomplished using a Muller guidewire deflector system.
Why the study?
Can a Muller guidewire deflector system be used to safely reposition a misdirected ventriculoatrial shunt?
Case Report
Can a Muller guidewire deflector system be used to safely reposition a misdirected ventriculoatrial shunt?
Intravascular repositioning using a Muller guidewire deflector system is a simple and safe approach for correcting misdirected ventriculoatrial shunts in infants and children.
May enable endovascular correction of misplaced VA shunts; leaves open safety and efficacy in routine practice.
✓ Intravascular repositioning of a misdirected ventriculoatrial shunt from the left innominate vein into the right atrium was accomplished using a Muller guidewire deflector system. The guidewire and its surrounding small polyethylene catheter were inserted into a left superficial saphenous vein and advanced through the right side of the heart into the superior vena cava. The deflector system was activated and easily hooked the misplaced ventriculoatrial catheter. With gentle traction it was repositioned in the right atrium. The simplicity and safety of this approach make it recommended for use in infants and children.
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William J. McSweeney (1972) conducted a case report in Misdirected ventriculoatrial shunt. Intravascular repositioning using a Muller guidewire deflector system was evaluated on Successful repositioning of the shunt. Intravascular repositioning of a misdirected ventriculoatrial shunt into the right atrium was successfully accomplished using a Muller guidewire deflector system.
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