Table 2 Description of shunt revision due to malfunction and infection
From: Clinical outcome of cerebrospinal fluid shunts in patients with leptomeningeal carcinomatosis
Case no. | Sex/age | Primary ca. | Shunt type/reservoir | Malfunction or infection | Revision |
|---|---|---|---|---|---|
1 | M/34 | NSCLC | VP/programmable | S. aureus infection presented as malfunction with pus discharge around the distal catheter at 1 month | Shunt removal |
2 | F/61 | Breast ca. | LP/programmable | S. epidermidis infection after Ommaya MTX injection | Shunt removal and VP shunt 2 months later |
3 | F/56 | Breast ca. | LP/programmable | S. epidermidis infection after Ommaya MTX injection | Shunt removal, lumbar drainage, and re-insertion after infection control |
4 | F/61 | NSCLC | LP/programmable | Wound dehiscence after Ommaya MTX injection resulted in S. epidermidis infection | Shunt removal, extraventricular drainage, and re-insertion after infection control |
5 | F/63 | NSCLC | LP/programmable | K. pneumoniae infection 4 days after the shunt | Shunt removal and extraventricular drainage |
6 | F/59 | NSCLC | LP/programmable | C. albicans infection of abdominal wound | Shunt removal and VP shunt |
7 | F/18 | MBL | LP/programmable | S. epidermidis infection after Ommaya MTX injection | Shunt removal and re-insertion after infection control |
8 | F/59 | NSCLC | VP/programmable | S. aureus infection 6 months after the shunt | Shunt removal |
9 | F/29 | GBL | VP/programmable | Distal catheter obstruction 3 months after the shunt | Distal catheter externalization |
10 | F/13 | MBL | VP/programmable | Ventricular catheter obstruction (myxoid material only) | Extraventricular drainage and re-insertion |
11 | M/1 | MBL | VP/programmable | Proximal catheter migration on 10 days after the shunt | Shunt revision |
12 | M74 | NSCLC | LP/fixed | Under-drainage without obstruction | Catheter irrigation and VP shunt later |
13 | F/52 | NSCLC | LP/fixed | Distal catheter (pre-peritoneal) malposition | Distal wound revision |
14 | M/52 | NSCLC | LP/fixed | Proximal catheter obstruction | LP shunt removal and VP shunt |
15 | M/54 | NSCLC | LP/fixed | Under-drainage without obstruction | LP shunt removal and ventricular Ommaya |
16 | M/53 | AOG | LP/fixed | Distal catheter leakage with reservoir | LP shunt removal and VP shunt |
17 | F/8 | MBL | VP/fixed | Intolerable over-drainage | Revision with programmable valve |