Percutaneous technique for insertion of an atrial catheter for CSF shunting

1981 ◽  
Vol 55 (3) ◽  
pp. 488-490 ◽  
Author(s):  
Kheder Ashker ◽  
John L. Fox

✓ A percutaneous technique for insertion of the atrial end of a ventriculoatrial shunt is described. The technique utilizes a catheter introducer set with a guide wire for insertion of the atrial catheter through the internal jugular vein.

1988 ◽  
Vol 69 (1) ◽  
pp. 132-133 ◽  
Author(s):  
Guido Guglielmi ◽  
Giulio Guidetti ◽  
Stefania Mori ◽  
Pasquale Silipo

✓ The authors report a case of an arteriovenous fistula between the ascending pharyngeal artery and the internal jugular vein. The importance of an exact diagnosis and some precautions to be taken during therapeutic embolization are emphasized, as well as the need for superselective cannulation of the feeding artery. The problem of differential diagnosis with glomus tumors is discussed, and a brief mention is made of the anatomy of the jugular foramen and embryology of these tumors. Only one similar case treated by embolization with solid particles was found in the literature. To date, embolization using solid particles rather than liquid agents appears to be the best treatment of fistulas of this type.


1971 ◽  
Vol 35 (3) ◽  
pp. 348-350 ◽  
Author(s):  
Morgan A. Cowan ◽  
Marshall B. Allen

✓ The retrograde cephalad migration of the flexible venous catheter into a large internal jugular vein is described in two cases of adult “normal” pressure hydrocephalus treated with Holter ventriculoatrial shunts. The successful correction of this problem by replacement of the standard type “C” catheter with a slightly more rigid catheter and internal jugular vein ligation is described.


1973 ◽  
Vol 38 (6) ◽  
pp. 786-788 ◽  
Author(s):  
Javier Verdura ◽  
Samuel Resnikoff ◽  
Juan Cardenas

✓ A safe, simple, surgical technique to cannulate the subclavian vein for ventriculoatrial shunts is described. The convenience of using this vessel to gain access to the right atrium when the internal jugular vein is not available is discussed, and experience with five cases is reported.


1973 ◽  
Vol 39 (1) ◽  
pp. 121-122 ◽  
Author(s):  
John D. Reynolds

✓ A simple guide wire technique is described for introducing and placing the cardiac catheter in revision of a ventriculoatrial shunt. The advantages include easier passage of a catheter through tortuous or aberrant venous channels and areas of stenosis, and more accurate cardiac catheter tip localization. Suggestions regarding manipulation of the wire and placement of the catheter are also presented.


1972 ◽  
Vol 36 (3) ◽  
pp. 283-286 ◽  
Author(s):  
Stephen E. Natelson ◽  
William Molnar

✓ Three adult patients are presented in whom the atrial catheter coiled on itself after a ventriculoatrial shunt. Pressures in the jugular and subclavian veins and right atrium were measured during respiration and coughing. It is suggested that the normal pressure changes during the act of coughing facilitate coiling if the atrial catheter material is not sufficiently rigid.


1976 ◽  
Vol 44 (4) ◽  
pp. 485-492 ◽  
Author(s):  
Robert M. Quencer ◽  
Michael S. Tenner ◽  
Lewis M. Rothman ◽  
D. Wayne Laster

✓ Jugular venography done to evaluate abnormalities at the base of the skull demonstrated three distinctly different patterns depending on whether there is occlusion, invasion, or growth within the internal jugular vein. Improper technique results in a lack of intracranial dural sinus filling which may masquerade as venous occlusion. This problem is avoided by adequate neck compression along with proper volume and rate of delivery of contrast. Radiographically, an abnormal jugular vein at the base of the skull will show a concave defect in true occlusion, constriction or invasion of the vein by tumor, or tumor growth within the vein.


1985 ◽  
Vol 62 (5) ◽  
pp. 783-784 ◽  
Author(s):  
Giuliano Bosi ◽  
Emilio Zorzi ◽  
Pietro Guerrini ◽  
Jean P. Lintermans

✓ A method for positioning the cardiac end of a ventriculoatrial shunt with the aid of echocardiography is described. This simple procedure has resulted in safe and accurate shunt placement in infants.


2007 ◽  
Vol 61 (suppl_5) ◽  
pp. ONSE398-ONSE398
Author(s):  
Licia Di Muro ◽  
Roberto Pallini ◽  
Domenico Pietrini ◽  
Christian Colizzi ◽  
Luca Denaro

Abstract Objective: We describe a minimally invasive echo-guided placement of the cardiac tube in a ventriculoatrial shunt in a young pregnant woman, in order to avoid any radiological procedure. Methods: We used a central venous catheter placement kit for percutaneous echo-guided right internal jugular vein puncture located by a 7.5 mHz microlinear probe. Through the catheter, the distal portion of the shunt device was positioned into the internal jugular vein to the right atrium using ultrasound control by a 2.5 to 3.5 mHz probe in a four-chamber transthoracic view. Results: Sonographic guidance in percutaneous placement of a vertebral artery shunt is a safe and fast minimally invasive technique that improves success rates and decreases complications such as incidental puncture of the carotid artery and pneumothorax. The use of a two-dimensional echocardiographic apparatus in a four-chamber transthoracic view is an accurate and simple method to verify the position of the distal tip of the shunt in the mid-right atrium with no risks for the patient. Conclusion: The use of these two techniques allows a minimally invasive, safe, accurate, and complete x-ray-free procedure.


1979 ◽  
Vol 50 (3) ◽  
pp. 391-392 ◽  
Author(s):  
Stephen E. Natelson

✓ A thin-walled atrial catheter used in shunting for hydrocephalus may become curled or kinked in the neck after it has been in normal position and functioning for years. The usual cause is a bout of severe coughing. Such a case is described together with a percutaneous method of restoration of the shunt by transfemoral catheterization utilizing a wire loop.


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