Can You Fly with a Permanent Ventriculoperitoneal Shunt?

Ventriculoperitoneal shunt

Hello Dr.
Chang, I apologize for bothering you.
I previously asked about the possibility of flying with a permanent drainage catheter.
My friend has a self-funded ventriculoperitoneal shunt.
Can they fly with this type of device? Thank you.

Niming, 20~29 year old female. Ask Date: 2017/12/22

Dr. Zhang Junwei reply Neurosurgery

It is usually acceptable.

Reply Date: 2017/12/22

More Info

When it comes to flying with a permanent ventriculoperitoneal (VP) shunt, there are several important considerations to keep in mind. A VP shunt is a medical device used to treat conditions such as hydrocephalus, where excess cerebrospinal fluid (CSF) accumulates in the brain. The shunt helps to drain this fluid from the ventricles of the brain to the abdominal cavity, where it can be absorbed by the body.
In general, individuals with a VP shunt can fly, but there are specific factors that should be taken into account to ensure safety and comfort during the flight. Here are some key points to consider:
1. Consult Your Healthcare Provider: Before making any travel plans, it is crucial for the individual with the VP shunt to consult their healthcare provider or neurosurgeon. They can provide personalized advice based on the individual's medical history, the condition being treated, and the specifics of the shunt.

2. Shunt Functionality: It is important to ensure that the VP shunt is functioning properly before flying. Any signs of malfunction, such as headaches, nausea, vomiting, or changes in vision, should be addressed with a healthcare professional prior to travel.

3. Air Pressure Changes: During a flight, changes in cabin pressure can potentially affect the shunt. However, most modern VP shunts are designed to withstand these changes without issues. Nonetheless, individuals should be aware of how their body reacts to altitude changes, especially if they have experienced problems in the past.

4. Hydration and Movement: Staying hydrated during the flight is essential, as dehydration can exacerbate headaches and other symptoms. Additionally, it is advisable to move around periodically during long flights to promote circulation and reduce the risk of complications.

5. Emergency Plan: It is wise to have a plan in place in case of an emergency. This includes knowing where to seek medical help at the destination and having a list of medications and medical conditions readily available.

6. Comfort Measures: Depending on the individual’s comfort level, they may want to bring pillows or other items to help them sit comfortably during the flight. If they experience discomfort or pressure in the head, they should notify the flight attendants for assistance.

7. Travel Insurance: Consider obtaining travel insurance that covers medical emergencies, especially if traveling internationally. This can provide peace of mind in case any unexpected health issues arise.

8. Post-Flight Monitoring: After the flight, it is important to monitor for any unusual symptoms that may arise, such as headaches or changes in neurological status. If any concerning symptoms develop, seek medical attention promptly.

In summary, flying with a permanent VP shunt is generally safe, but it requires careful planning and consultation with a healthcare provider. By taking the necessary precautions and being aware of potential issues, individuals with a VP shunt can enjoy their travels with greater confidence. Always prioritize health and safety, and do not hesitate to reach out for medical advice when needed.

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