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Vol. 116 No. 4, April 1981 |
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PAPERS PRESENTED AT THE FOURTH ANNUAL MEETING OF THE ASSOCIATION OF VETERANS ADMINISTRATION SURGEONS, ALEXANDRIA, VA, MAY 11-14, 1980 |
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Angiographic Assessment of Peritoneovenous Shunt Malfunction
Michael L. Schwartz, MD;
Robert P. Miller, MD
Arch Surg. 1981;116(4):435-437.
Abstract
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• On 12 patients with reaccumulation of ascitic fluid after peritoneovenous (LeVeen) shunt insertion, shuntograms were performed by direct percutaneous puncture of the venous limb of the shunt. Shunt function was evaluated by pressure determination and injection of sterile iodinated contrast material. The shuntogram correctly predicted the cause of shunt malfunction in ten of 12 patients. Two failures were attributable to central venous hypertension. The addition of pressure measurements has been shown to correlate with central venous pressure at the time of surgery and hopefully will eliminate the inability of the procedure to diagnose shunt malfunction secondary to venous hypertension. There have been no episodes of pulmonary embolization or sepsis associated with the shuntograms. The shuntogram is a safe and effective method for assessing peritoneovenous shunt malfunction. The information gained from this procedure is valuable to the surgeon who plans an operation to correct shunt malfunction.
(Arch Surg 1981;116:435-437)
Author Affiliations
From the Departments of Surgery (Dr Schwartz) and Radiology (Dr Miller), Veterans Administration Medical Center, and the University of Minnesota Medical School, Minneapolis.
Footnotes
Accepted for publication Sept 30, 1980.
Read at the Fourth Annual Surgical Symposium of the Association of Veterans Administration Surgeons, Alexandria, Va, May 11, 1980.
Reprint requests to VA Medical Center, 54th Street and 7th Avenue, Minneapolis, MN 55417 (Dr Schwartz).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Central Venous Thrombosis and Embolism Associated With Peritoneovenous Shunts
Foley et al.
Arch Surg 1984;119:713-720.
ABSTRACT
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