Symptomatic fluid drainage: Peritoneovenous shunt placement Journal Article


Authors: Yarmohammadi, H.; Getrajdman, G. I.
Article Title: Symptomatic fluid drainage: Peritoneovenous shunt placement
Abstract: Ascites causes significant discomfort and has negative impact on patient's quality of life. Medical therapies including dietary restriction and diuretics are successful in only 40 to 44% of patients with malignant ascites and repeated paracentesis only provides temporary symptomatic relief. Therefore, a more permanent solution is necessary. Indwelling catheters or peritoneovenous shunt placement can provide more permanent symptomatic relief and improve patients' quality of life. Unlike indwelling catheters, peritoneovenous shunts do not limit patients' life style and therefore should be offered as first option in patients who are good candidates. Denver shunt (CareFusion-BD Worldwide) is the current available peritoneovenous shunt. In this article, the indications, contraindications, technical aspects of shunt placement, and techniques to prevent postprocedure complications will be discussed. © Georg Thieme Verlag KG, Stuttgart New York.
Keywords: ascites; patient selection; treatment indication; kidney failure; lung embolism; liver failure; surgical drainage; treatment contraindication; congestive heart failure; chylous ascites; ascites fluid; lung edema; vascular access; peritoneum vein shunt; jugular vein; human; priority journal; article; malignant ascites; heart right atrium; peritoneovenous shunt; denver shunt
Journal Title: Seminars in Interventional Radiology
Volume: 34
Issue: 4
ISSN: 0739-9529
Publisher: Thieme Publishing  
Date Published: 2017-12-01
Start Page: 343
End Page: 348
Language: English
DOI: 10.1055/s-0037-1608705
PROVIDER: scopus
PMCID: PMC5730438
PUBMED: 29249858
DOI/URL:
Notes: Article -- Export Date: 2 January 2018 -- Source: Scopus
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