A guide to placement of parietooccipital ventricular catheters
- 1 February 1995
- journal article
- Published by Journal of Neurosurgery Publishing Group (JNSPG) in Journal of Neurosurgery
- Vol. 82 (2), 300-304
- https://doi.org/10.3171/jns.1995.82.2.0300
Abstract
Accurate placement of parietooccipital ventricular catheters can be difficult and frustrating. To minimize the morbidity of the procedure and lengthen the duration of shunt function, the catheter tip should lie in the ipsilateral frontal horn. The authors describe a posterior ventricular guide (PVG) for placement of parietooccipital catheters that operates by mechanically coupling the posterior burr hole to the anterior target point. In a series of 38 patients who underwent ventriculoperitoneal shunting with the assistance of the guide, postoperative computerized tomography (CT) scanning revealed that 35 (92.0%) had accurate catheter placement. In comparison, a retrospective review of free-hand posterior catheter placement revealed good catheter position in only 22 of 43 patients (51.1%). The use of the guide added less than 5 minutes to the entire procedure, and there were no complications related to its use. The PVG is a simple and useful tool that aids in the placement of parietooccipital ventricular catheters.This publication has 8 references indexed in Scilit:
- Neuro-Ophthalmic Complications of Intracranial CathetersNeurosurgery, 1993
- A Prospective, Randomized Study of Shunt Function and Infections as a Function of Shunt PlacementPediatric Neurosurgery, 1990
- Function of parietal and frontal shunts in childhood hydrocephalusJournal of Neurosurgery, 1988
- Detection of Shunt-induced Intracerebral Hemorrhage by Postoperative Skull Films: A Report of Two CasesNeurosurgery, 1988
- The incidence of epilepsy after ventricular shunting proceduresJournal of Neurosurgery, 1986
- A guide for ventricular catheter placementJournal of Neurosurgery, 1985
- Intraventricular Hematoma Secondary to a Ventriculoperitoneal ShuntNeurosurgery, 1982
- Control of Hydrocephalus by Valve-Regulated Venous Shunt: Avoidance of Complications in Prolonged Shunt MaintenanceJournal of Neurosurgery, 1968