Accuracy of percutaneous placement of a ventriculoatrial shunt under ultrasonography guidance: A retrospective study at a single institution: Technical note

Philippe Metellus, Wesley Hsu, Siddharth Kharkar, Sumit Kapoor, William Scott, Daniele Rigamonti

Research output: Contribution to journalArticlepeer-review

Abstract

The authors report their experience using preoperative chest radiography and intraoperative ultrasonography for percutaneous positioning of the distal end of the catheter when placing ventriculoatrial (VA) shunts in patients with hydrocephalus. The distal portion of VA shunt catheters were percutaneously placed into the internal jugular vein with the aid of intraoperative ultrasonography in 14 consecutive adults. In all cases, the technique was easy, there were no postoperative complications, and postoperative chest radiography demonstrated good positioning of the distal catheter tip. One patient presented with a shunt infection and needed a shunt replacement. The authors therefore conclude that percutaneous placement of a VA shunt under preoperative radiographic guidance and ultrasonographic monitoring is a safe, effective, and reliable technique that is simple to learn.

Original languageEnglish (US)
Pages (from-to)867-870
Number of pages4
JournalJournal of neurosurgery
Volume110
Issue number5
DOIs
StatePublished - May 1 2009

Keywords

  • Hydrocephalus
  • Ultrasonography
  • Ventriculoatrial shunt
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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