Semin intervent Radiol 2017; 34(04): 343-348
DOI: 10.1055/s-0037-1608705
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Symptomatic Fluid Drainage: Peritoneovenous Shunt Placement

Hooman Yarmohammadi1, George I. Getrajdman1
  • 1Department of Interventional Radiology, Memorial Sloan-Kettering Cancer Center, New York, New York
Further Information

Publication History

Publication Date:
14 December 2017 (online)

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.