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Updated: Feb 2, 2026
07:47
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
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Endoluminal Shuntscope-Guided Ventricular Catheter Placement: Early Experience
Vivek Agrawal1, Rajendra B Aher1
1Sir H. N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India.
Asian Journal of Neurosurgery
|November 22, 2018
Summary
Shuntscope-guided ventricular catheter placement improves accuracy, avoiding common obstructions. This technique shows promise in reducing shunt dysfunction and associated complications.
Area of Science:
- Neurosurgery
- Medical Devices
- Minimally Invasive Procedures
Background:
- Optimal ventricular catheter (VC) placement is crucial for shunt surgery success.
- Common VC dysfunctions include obstruction by brain parenchyma, septa, or choroid plexuses.
- Advancements like navigation and stereotaxy aim to improve VC placement accuracy.
Purpose of the Study:
- To evaluate the early experience, technique, and outcomes of using a shuntscope for ventricular catheter placement.
- To assess the feasibility and effectiveness of shuntscope-guided ventriculoperitoneal shunt procedures.
Main Methods:
- Utilized a 1 mm semi-rigid shuntscope with high magnification for guidance.
- Performed shuntscope-guided ventriculoperitoneal shunt placement in 9 cases.
- The shuntscope features a fiber optic lens system with remote camera and light source for maneuverability.
Main Results:
- Ventricular catheters were successfully placed in the ipsilateral frontal horn, avoiding critical structures.
- Shuntscope identified and enabled correction of septum pellucidum perforation and contralateral placement.
- All placements were free from obstruction by choroid plexuses, septa, or membranes.
Conclusions:
- Shuntscope-assisted VC placement is a promising technique for accurate catheter positioning.
- This method can potentially reduce shunt dysfunction, complications, and associated costs.
- Larger case series are needed to further validate these encouraging initial results.
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