INTEGRA-HERMETIC LARGE STYLE VENTRICULAR CATHETER

Description of Event or Problem

ON (B)(6) 2015 THE PATIENT UNDERWENT A CRANIOTOMY FOR RECURRENT PITUITARY MACROADENOMA, WHEN A VENTRICULAR CATHETER WAS PLACED INTO THE RIGHT LATERAL VENTRICLE, THROUGH A SMALL PERFORATION IN THE FRONTAL BONE AT THE LEVEL OF THE CORONAL SUTURE BEHIND THE FRONTAL CRANIOTOMY USING IMAGE GUIDANCE. THE END OF THE CATHETER WAS BROUGHT THROUGH A SEPARATE SMALL INCISION 1 CM IN LENGTH. THE VENTRICULAR CATHETER WAS TRIMMED AND A LUER-LOK WAS FIXED TO THE END OF THE CATHETER AND THE LUER-LOCK WAS SUTURED TO THE SCALP. THE LUER-LOCK WAS THEN ATTACHED TO A CLOSED SYSTEM FOR EXTERNAL DRAINAGE. ON (B)(6) 2015, THE VENTRICULAR CATHETER WAS FOUND TO BE DISCONNECTED FROM THE LUER-LOK, AND WAS UNABLE TO BE RETRIEVED MANUALLY FROM THE SCALP INCISION. ON (B)(6) 2014 THE PATIENT WENT BACK TO THE OPERATING ROOM FOR RETRIEVAL OF THE DISCONNECTED VENTRICULAR CATHETER.