Patients who have cysts in their brain or spinal cord may benefit from a direct cystoperitoneal shunt.
Similar to a ventriculoperitoneal shunt (VP Shunt), this procedure diverts fluid from the cysts, helping decrease the pressure in the brain. Typically, these cysts are first treated with an endoscopic fenestration procedure. Cystoperitoneal shunts are reserved for patients who do not find benefit with the fenestration alone. Programmable valves are used to help taper fluid drainage.
The abdominal portion of the catheter is placed laparoscopically with the assistance of a general surgeon, ensuring correct placement of the catheter and minimizing the risk of abdominal organ injury.
Though a common procedure, this device can have some complications during and after placement. These include catheter misplacement, catheter dislodgement, valve obstruction, shunt infection, overdrainage, possible revision surgery or removal surgery and intracranial bleeding (acute or delayed).