Percutaneous placement of the peripheral catheter to the subclavian vein for a VA shunt

Drosos, Evangelos; Giakoumettis, Dimitrios; Sfakianos, George; Nikolaos, Eleftherakis; Papadopoulos, Filippos; Marios, Themistocleous

doi:10.11604/pamj.2017.27.42.11374

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…Matsuoka et al, in 1993, published two case reports of a 64-year-old male and of a 65-yearold male, respectively, both of whom had their subclavian vein punctured through the infraclavicular approach, with positive results [81]. Another case reported by Evangelos et al in 2017 presented a 4-year-old child with multiple ventriculo-peritoneal shunt revision surgeries and ventriculo-atrial failure due to distal catheter malfunction that was treated with the percutaneous placement of the peripheral catheter in the subclavian vein [82].…”

Section: Discussionmentioning

confidence: 99%

Right Transcephalic Ventriculo-Subclavian Shunt in the Surgical Treatment of Hydrocephalus—An Original Procedure for Drainage of Cerebrospinal Fluid into the Venous System

Lițescu

Cristian

Coman

et al. 2023

JCM

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The objectives of this article are to present an original surgical procedure for the temporary or definitive resolution of hydrocephalus, in the case of repeated failure of standard treatment techniques, and to present a case that was resolved using this surgical technique. Materials and methods: We present the case of a 20-year-old male patient with congenital hydrocephalus who underwent a number of 39 shunt revisions, given the repetitive dysfunctions of various techniques (ventriculo-peritoneal shunt, ventriculo-cardiac shunt). The patient was evaluated with the ventricular catheter externalized at the distal end and it was necessary to find an emergency surgical solution, considering the imminent risk of meningitis. The patient was also associated with the diagnosis of acute lithiasic cholecystitis. Results and discussions: The final chosen solution, right ventriculo-venous drainage using the cephalic vein, was a temporary surgical solution, but there are signs that this procedure can provide long-term ventricular drainage. Conclusions: Transcephalic ventriculo-subclavian drainage represents an alternative technical option, which can be used when established options become ineffective.

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Section: Discussionmentioning

confidence: 99%

Right Transcephalic Ventriculo-Subclavian Shunt in the Surgical Treatment of Hydrocephalus—An Original Procedure for Drainage of Cerebrospinal Fluid into the Venous System

Lițescu

Cristian

Coman

et al. 2023

JCM

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“…The percutaneous technique for the placement of VA shunt was first described by Sorge et al 8 using a special set based on the Seldinger technique and there are other reports that describe this technique. 7,9,10 Each of these papers described the locally available various catheters and peel away sheaths to cannulate the IJV or subclavian vein for passing the distal end of the shunt into the superior vena cava.…”

Section: Discussionmentioning

confidence: 99%

Technical Nuances of Ventriculoatrial Shunt Using Seldinger Technique for Percutaneous Insertion of Distal Shunt Catheter

Yerragunta

Yerramneni

KANALA

et al. 2020

Indian Journal of Neurosurgery

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Introduction One of the most seen neurosurgical complications is the ventriculoperitoneal (VP) shunt failure. The cause can be often due to peritoneal malabsorption of cerebrospinal fluid. The next safer alternative is to place a ventriculoatrial (VA) shunt. Various methods of access to the right atrium had been described. The percutaneous method of insertion of distal catheter using Seldinger technique is a safer alternative to open method. We describe the percutaneous insertion of distal catheter using Seldinger technique, modifications in the method, and specific tools required for the insertion. Clinical History The patient is a 22-year-old male who is a known case of tubercular meningitis with recurrent failure of VP shunt due to malabsorption at peritoneal end of catheter. During the last hospital visit, he presented with altered sensorium and computed tomography scan brain showed ventriculomegaly. He was planned for VA shunt placement. Surgical Technique The insertion of ventricular end of the catheter is similar to any other shunt placement. The internal jugular vein (IJV) was punctured using introducer needle and guide wire was placed in the IJV at the level of T6-T7 and the serial dilators passed on the guide wire for creating a track for passage of shunt catheter. The shunt catheter was passed over the guide wire to the desired vertebral level and distal shunt catheter is connected proximally to the shunt catheter in the neck. Conclusion The percutaneous insertion of distal catheter with serial dilators using Seldinger technique is a safe and effective method for VA shunt placement.

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Thromboembolic infarction caused by an unknown patent foramen ovale 30 years after VA shunt insertion: a case report and review of the literature

et al. 2019

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Percutaneous placement of the peripheral catheter to the subclavian vein for a VA shunt

Cited by 4 publications

References 20 publications

Right Transcephalic Ventriculo-Subclavian Shunt in the Surgical Treatment of Hydrocephalus—An Original Procedure for Drainage of Cerebrospinal Fluid into the Venous System

Right Transcephalic Ventriculo-Subclavian Shunt in the Surgical Treatment of Hydrocephalus—An Original Procedure for Drainage of Cerebrospinal Fluid into the Venous System

Technical Nuances of Ventriculoatrial Shunt Using Seldinger Technique for Percutaneous Insertion of Distal Shunt Catheter

Thromboembolic infarction caused by an unknown patent foramen ovale 30 years after VA shunt insertion: a case report and review of the literature

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