Document Detail


Ultrasound guidance for distal insertion of ventriculo-atrial shunt catheters: technical note.
MedLine Citation:
PMID:  19040795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ventriculo-atrial (VA) shunts are often used for CSF diversion in situations involving abdominal pathology that preclude the use of ventriculo-peritoneal shunts. Distal (venous) catheters of VA shunts have historically been inserted using a cut-down on the internal jugular vein (IJV). Less invasive placement of atrial catheters may minimize operative times and attenuate post-operative incisional discomfort. We describe a method for atrial catheter placement using ultrasound guidance to visualize the IJV and facilitate percutaneous venous puncture in 17 adult patients (23 total insertions) undergoing treatment for hydrocephalus or pseudotumor cerebri. The IJV and carotid artery were visualized by ultrasound in 23 (100%) cases. Venous penetration and successful atrial catheter placement was achieved on the first attempt in 23 (100%) cases. Pneumothorax, carotid artery puncture or need for venous cut-down occurred in no cases. The utilization of ultrasound guidance for distal VA shunt catheter insertion may increase comfort with this procedure and ultimately decrease complication rate and operative time.
Authors:
Sameer A Sheth; Matthew McGirt; Graeme Woodworth; Paul Wang; Daniele Rigamonti
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, N.I.H., Extramural     Date:  2008-11-26
Journal Detail:
Title:  Neurological research     Volume:  31     ISSN:  0161-6412     ISO Abbreviation:  Neurol. Res.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-01     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7905298     Medline TA:  Neurol Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  280-2     Citation Subset:  IM    
Affiliation:
David Geffen School of Medicine at the University of California, Los Angeles Los Angeles, CA 90024, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Carotid Arteries / ultrasonography
Catheters, Indwelling / adverse effects
Cerebrospinal Fluid Shunts / methods*
Cohort Studies
Female
Heart Atria*
Humans
Hydrocephalus / therapy,  ultrasonography
Jugular Veins / ultrasonography
Male
Middle Aged
Pseudotumor Cerebri / therapy,  ultrasonography
Ultrasonography, Doppler / methods*
Grant Support
ID/Acronym/Agency:
GM08042/GM/NIGMS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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