BRIEF NOTE

Ventriculoatrial Shunt: revisiting the percutaneous technique step by step

Derivação Ventrículo Atrial: revisitando a técnica percutânea passo a passo

  • Vinicius Herbet Sales da Silva
  • Anna Carolina Ferretti Wisenfad
  • Sebastião Carlos de Sousa Oliveira    Sebastião Carlos de Sousa Oliveira
  • Willian Medina Guimarães
  • Pedro Luciano Mellucci Filho
  • Lorenna Izadora Capovilla Martins Gonzalez Reyes
  • Rodrigo Ferrari Fernandes Naufal
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  Downloads: 17

Resumo

Descrição passo a passo da técnica de derivação ventrículo atrial percutânea, enfatizando o posicionamento, o uso de ultrassonografia para punção da veia jugular interna, destacando a utilização do introdutor vascular destácavel como ferramenta para evitar deslocamento do cateter distal. Utilização do intensificador de imagem para confirmação da topografia da extremidade do cateter distal.

Palavras-chave

Relatos de caso; Hidrocefalia; Hidrocefalia obstrutiva

Abstract

Step-by-step description of the percutaneous ventriculoatrial shunt technique, emphasizing positioning and the use of ultrasound to puncture the internal jugular vein, highlighting the use of the detachable vascular introducer as a tool to avoid displacement of the distal catheter. Use of the image intensifier to confirm the topography of the distal catheter tip.

Keywords

Case reports; Hydrocephalus; Obstructive hydrocephalus

References

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3. Konar SK, Maiti TK, Bir SC, Kalakoti P, Nanda A. Robert H. Pudenz (1911-1998) and ventriculoatrial shunt: historical perspective.

World Neurosurg. 2015;84(5):1437-40. http://doi.org/10.1016/j. wneu.2015.05.080. PMid:26074435.

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13. Naik A, Ramsy N, Krist DT, et al. Anterior versus posterior ventricular catheter placement in pediatric patients: a systematic review and metaanalysis. World Neurosurg. 2022;167:e10-8. http://doi.org/10.1016/j. wneu.2022.05.057. PMid:35643406.



1Department of Neurological Surgery, Hospital Regional de Presidente Prudente, Presidente Prudente, SP, Brasil.

2Faculdade de Medicina de Presidente Prudente, Universidade do Oeste Paulista, Presidente Prudente, SP, Brasil.

3Department of Surgery and Orthopedics, Faculdade de Medicina de Botucatu – FMB, Universidade Estadual Paulista “Júlio de Mesquita Filho” – UNESP, Botucatu, SP, Brasil.


 

Received Feb 15, 2025

Accepted Mar 17, 2025


JBNC  Brazilian Journal of Neurosurgery

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