Journal article
A guide to placement of parietooccipital ventricular catheters. Technical note
Journal of neurosurgery, Vol.82(2), pp.300-304
02/1995
DOI: 10.3171/jns.1995.82.2.0300
PMID: 7815163
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.
Details
- Title: Subtitle
- A guide to placement of parietooccipital ventricular catheters. Technical note
- Creators
- Matthew A Howard III - Department of Surgery, University of Iowa, Iowa CityJ SrinivasanC G BeveringH Richard WinnM Sean Grady
- Resource Type
- Journal article
- Publication Details
- Journal of neurosurgery, Vol.82(2), pp.300-304
- Publisher
- United States
- DOI
- 10.3171/jns.1995.82.2.0300
- PMID
- 7815163
- ISSN
- 0022-3085
- eISSN
- 1933-0693
- Language
- English
- Date published
- 02/1995
- Academic Unit
- Neurology; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
- Record Identifier
- 9984013202202771
Metrics
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