Placement of a ventriculoatrial shunt using external jugular catheterization: technical note

Area of Science:

• Neurosurgery
• Pediatric Surgery
• Medical Devices

Background:

• Ventriculoatrial shunts are crucial for managing hydrocephalus.
• Accurate placement of the atrial catheter is essential for shunt function.
• Minimally invasive techniques are sought for pediatric neurosurgery.

Purpose of the Study:

• To describe a novel technique for atrial end insertion of ventriculoatrial shunts.
• To evaluate the safety and efficacy of this new method.

Main Methods:

• Utilized a J-wire and an open end atrial catheter.
• Insertion performed through the external jugular vein into the right atrium.
• Fluoroscopic guidance employed for precise placement.

Main Results:

• The described technique allows for safe and effective atrial catheter insertion.
• The method proved successful even in young infants.

Conclusions:

• This J-wire assisted technique offers a safe and effective approach for ventriculoatrial shunt atrial end placement.
• It is a valuable option for pediatric neurosurgical procedures, including in neonates.