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Case Reports
. 2017 May 16:27:42.
doi: 10.11604/pamj.2017.27.42.11374. eCollection 2017.

Percutaneous placement of the peripheral catheter to the subclavian vein for a VA shunt

Drosos Evangelos  1 , Giakoumettis Dimitrios  1 , Sfakianos Georgios  2 , Eleftherakis Nikolaos  3 , Papadopoulos Filippos  1 , Themistocleous Marios  1
Affiliations
Case Reports

Percutaneous placement of the peripheral catheter to the subclavian vein for a VA shunt

Drosos Evangelos et al. Pan Afr Med J. .

Abstract

Hydrocephalus is a common neurosurgical pathology that affects people of all ages and especially the pediatric population. It can be very often a life threatening condition that pediatric neurosurgeons must deal with. Therefore a number of CSF diversion techniques have been established. The gold standard treatment currently is the placement of a ventriculo-peritoneal shunt. Because of hydrocephalus being a lifelong condition, it is almost in daily practice dealing with cases of shunt failures for a number of reasons. Herewith we present a 4 year old child with multiple ventriculo-peritoneal shunt revision surgeries and ventriculo-atrial failure due to distal catheter malfunction that was treated with percutaneous placement of the peripheral catheter in the subclavian vein.

Keywords: Ventriculo-atrial shunt; hydrocephalus; percutaneous; subclavian vein.

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Figures

Figure 1
Figure 1
Preoperative CT scan demonstrating hydrocephalus
Figure 2
Figure 2
Insertion of the peel-away sheath through the guide-wire
Figure 3
Figure 3
Peripheral catheter inserted through splitting dilator
Figure 4
Figure 4
One year follow up CT scan showing the Cather sin place and the normal ventricular system
See this image and copyright information in PMC

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