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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

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Published on: May 23, 2025

The Seldinger technique for ventricular catheter exchange: a technical note.

David F Bauer¹, R Shane Tubbs, Leslie Acakpo-Satchivi

¹Division of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery

|March 1, 2008

Summary

The modified Seldinger technique successfully exchanged difficult ventricular catheters in a child with hydrocephalus and shunt infection. This method offers a safe and effective approach for complex ventricular catheter replacement.

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Area of Science:

Neurosurgery
Pediatric Neurosurgery
Medical Devices

Background:

The Seldinger technique is established for vascular access.
Ventricular catheter placement can be challenging, especially in complex cases.
Shunt infections and multiloculated hydrocephalus complicate ventricular catheter management.

Purpose of the Study:

To describe the modified Seldinger technique for difficult ventricular catheter exchange.
To evaluate the safety and efficacy of this technique in a pediatric patient.

Main Methods:

A modified hydrophilic guidewire was used to cannulate existing ventricular catheters.
The guidewire facilitated the exchange of two ventricular catheters for ventriculostomy.
The procedure was performed in a child with multiloculated hydrocephalus and shunt infection.

Main Results:

Successful exchange of ventricular catheters was achieved using the modified Seldinger technique.
Postoperative imaging confirmed accurate catheter placement, identical to preoperative locations.
No intraoperative or postoperative complications were observed during the procedure.

Conclusions:

The modified Seldinger technique is a viable option for selected ventricular catheter exchanges.
Increasing use of endoscopy for intracranial catheter placement may lead to more catheter defects, increasing the utility of this technique.
This approach may improve outcomes in complex pediatric neurosurgical cases requiring ventricular catheter revision.