A new peritoneovenous shunt

E. Guzman, B. D. Wigness, F. D. Dorman, T. D. Rohde, H. Buchwald

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

For today's most common peritoneovenous shunt catheters, the high incidence of complications (disseminated intravascular coagulation [DIC], pulmonary problems, clotting of the intravascular end, and shunt kinking) results in limited use. We have designed new peritoneovenous shunt catheter in which we improved mechanical biocompatibility with respect to both the peritoneum and the vasculature. The device consists of: (1) a multimicroorifice ascites filter in a double-chambered collecting device, (2) a tubular compression pump with an intratubular check-valve, and (3) a check-valve catheter at the intravascular end for positive exclusion of blood by reflux or back diffusion. This configuration filters the proteinaceous material from the ascites fluid, transports the filtrate into the blood stream, maintains patency, acts to prevent DIC by inhibiting the creation and transport of microthrombi into the cardiovascular system, and eliminates clot formation at the intravascular end.

Original languageEnglish (US)
Pages (from-to)691-696
Number of pages6
JournalSurgery
Volume100
Issue number4
StatePublished - Dec 30 1986

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