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Vascular and Endovascular Surgery
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CSF-Shunt-Related Thrombophlebitis—Case Reports

Jean-Paul Nguyen

Department of Neurosurgery, Hôpital Henri Mondor, Creteil

Colette Goujon

Department of Neurosurgery, Hôpital Henri Mondor, Creteil

Jean-Jacques Monsuez

Department of Internal Medicine and Angiology, Hôpital Saint-Louis, Paris, France

Yves Keravel

Department of Neurosurgery, Hôpital Henri Mondor, Creteil

Two cases of left upper extremity thrombophlebitis following left cerebrospi nal fluid, (CSF) shunt implantation are reported. Signs and symptoms appeared in the early postoperative period (at days 5 and 15 respectively).

Thrombosis of the axillary vein was demonstrated by Doppler examination and phlebography. Both patients were given anticoagulant therapy with a favor able clinical outcome . No pulmonary embolism or catheter dysfunction occurred.

The patients remained free of any disability after a two and three-year follow-up, respectively, without relapsing thrombosis after discontinuation of therapy.

These 2 cases occurred in the only 2 adult-patients in whom a left CSF shunt was implanted. No thrombotic complications occurred among 153 patients with a right implantation of the device. Thus, the course of the catheter through the left brachiocephalic vein has to be taken into account in the pathogenicity of this complication.

Vascular and Endovascular Surgery, Vol. 24, No. 8, 598-601 (1990)
DOI: 10.1177/153857449002400810
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