TITLE

Peritoneovenous Shunt Insertion for Intractable Ascites-A District General Hospital Experience Peritoneovenous Shunt for Ascites

AUTHOR(S)
Hussain, Fuad F.; Meer, Ziad F.; Lopez, Anthony J.
PUB. DATE
July 2004
SOURCE
CardioVascular & Interventional Radiology;Jul/Aug2004, Vol. 27 Issue 4, p325
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Ascites often contributes to patient morbidity and discomfort. When refractory to medical management, it has been managed with repeated paracentesis, implantable ports for drainage, or diversion to the urinary bladder. Peritoneovenous shunt insertion has been a technique that was traditionally performed only by surgeons but is now within the realm of interventional radiologists. Its advantage is that protein-rich ascitic fluid is returned to the intravascular compartment. This retrospective study elaborates on the successes and problems encountered during shunt insertion in our first 13 patients. Two patients are well with a functioning shunt at 14 and 32 weeks. In 6 the shunt functioned until the patients’ death from the underlying malignancy. Two required revision with variable success and in 2, shunt function could not be salvaged. There was one procedure-related mortality. Radiological insertion of these shunts is feasible and should be considered for selected patients. Options are available for assessment and salvaging of dysfunctional shunts.
ACCESSION #
14026915

 

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