Skip to main content
SpringerLink
Log in

Ultrasound-guided percutaneous brachiocephalic vein cannulation for ventriculoatrial shunt placement in a child

  • Technical Note
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Objective

As far as the ventriculoatrial shunt placement in children is concerned, the percutaneous approach to the internal jugular vein under ultrasonographic control has been hitherto strongly recommended. Unfortunately, children still represent a challenge, having them peculiar characteristics for which the internal jugular vein cannulation shows some disadvantages.

Methods

In this manuscript, we describe a percutaneous placement of ventriculoatrial shunt via right brachiocephalic vein under intraoperative ultrasonographic control.

Conclusions

Brachiocephalic vein cannulation in surgery provides notable advantages in paediatric population and it may be considered as the first choice in younger children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Abbreviations

BCV:

Brachiocephalic vein

CSF:

Cerebrospinal fluid

CVC:

Central venous catheter

IJV:

Internal jugular vein

SCV:

Subclavian vein

US:

Ultrasound

VAS:

Ventriculoatrial shunt

References

  1. Ashker K, Fox JL (1981) Percutaneous technique for insertion of an atrial catheter for CSF shunting technical note. J Neurosurg 55:488–490. https://doi.org/10.3171/jns.1981.55.3.0488

    Article  CAS  Google Scholar 

  2. Breschan C, Platzer M, Jost R, Stettner H, Beyer AS, Feigl G et al (2011) Consecutive, prospective case series of a new method for ultrasound-guided supraclavicular approach to the brachiocephalic vein in children. Br J Anaest 106:732–737. https://doi.org/10.1097/ALN.0000000000001871

    Article  CAS  Google Scholar 

  3. Breschan C, Graf G, Jost R, Stettner H, Feigl G, Neuwersch S et al (2018) A retrospective analysis of the clinical effectiveness of supraclavicular, ultrasound-guided brachiocephalic vein cannulations in preterm infants. Anesthesiol 128:38–43. https://doi.org/10.1093/bja/aer031

    Article  Google Scholar 

  4. Britz GW, Avellino AM, Schaller R, Loeser JD (1998) Percutaneous placement of ventriculoatrial shunts in the pediatric population. Pediatr Neurosurg 29:161–163. https://doi.org/10.1159/000028713

    Article  CAS  PubMed  Google Scholar 

  5. Carol M, Robinson W, Harris BS (1986) Percutaneous placement of ventriculoatrial shunts: four-year case experience. Neurosurg 18:348–349. https://doi.org/10.1227/00006123-198603000-00017

    Article  CAS  Google Scholar 

  6. Chuan WX, Wei W, Yu L (2005) A randomized-controlled study of ultrasound prelocation vs anatomical landmark-guided cannulation of the internal jugular vein in infants and children. Paediatr Anaesth 15:733–738. https://doi.org/10.1111/j.1460-9592.2004.01547.x

    Article  PubMed  Google Scholar 

  7. Clark DJ, Chakraborty A, Roebuck DJ, Thompson DNP (2016) Ultrasound guided placement of the distal catheter in paediatric ventriculoatrial shunts—an appraisal of efficacy and complications. Childs Nerv Syst 32:1219–1225. https://doi.org/10.1007/s00381-016-3120-4

    Article  PubMed  PubMed Central  Google Scholar 

  8. Decq P, Blanquet A, Yepes C (1995) Percutaneous jugular placement of ventriculo-atrial shunts using a split sheath technical note. Acta Neurochir 136:92–94. https://doi.org/10.1007/bf01411442

    Article  CAS  PubMed  Google Scholar 

  9. Ellegaard L, Mogensen S, Juhler M (2007) Ultrasound-guided percutaneous placement of ventriculoatrial shunts. Childs Nerv Syst 23:857–862. https://doi.org/10.1007/s00381-007-0304-y

    Article  CAS  PubMed  Google Scholar 

  10. Epstein N, Epstein F, Trehan N (1981) Percutaneous placement of the atrial end of a vascular shunt utilizing the Swan-Ganz introducer. Neurosurg 9:564–565. https://doi.org/10.1227/00006123-198111000-00014

    Article  CAS  Google Scholar 

  11. Harrison MJ, Welling BG, DuBois JJ (1996) A new method for inserting the atrial end of a ventriculoatrial shunt. Technical note. J Neurosurg 84:705–707. https://doi.org/10.3171/jns.1996.84.4.0705

    Article  CAS  PubMed  Google Scholar 

  12. Kock-Jensen C, Clemmensen S, Andersen BB (1996) Percutaneous insertion of CSF ventriculoatrial shunts-a new technique. Technical Note. Acta Neurochir 96:76–79. https://doi.org/10.1007/bf01403498

    Article  Google Scholar 

  13. Lehman RA, Hart JC (1983) Subclavian catheterization for the placement of a ventriculovenous shunt. Neurosurg 12:346–347. https://doi.org/10.1227/00006123-198303000-00020

    Article  CAS  Google Scholar 

  14. McCracken JA, Bahl A, McMullan J (2016) Percutaneous ultrasound-guided insertion of ventriculo-atrial shunts. Br J Neurosurg 30:411–413. https://doi.org/10.3109/02688697.2016.1161169

    Article  PubMed  Google Scholar 

  15. Oulego-Erroz I, Muñoz-Lozón A, Alonso-Quintela P, Rodríguez-Nuñez A (2016) Comparison of ultrasound guided brachiocephalic and internal jugular vein cannulation in critically ill children. J Crit Care 35:133–137. https://doi.org/10.1016/j.jcrc.2016.05.010

    Article  PubMed  Google Scholar 

  16. Rymarczuk GN, Keating RF, Coughlin DJ, et al (2019) A comparison of ventriculoperitoneal and ventriculoatrial shunts in a population of 544 consecutive pediatric patients. Neurosurg Oct 5;opz387. https://doi.org/10.1093/neuros/nyz387. Online ahead of print

  17. Sheth SA, McGirt M, Woodworth G, Wang P, Rigamonti D (2009) Ultrasound guidance for distal insertion of ventriculo-atrial shunt catheters: technical note. Neurol Res 31:280–282. https://doi.org/10.1179/174313209X380784

    Article  PubMed  Google Scholar 

  18. Spencer TR, Mahoney KJ (2017) Reducing catheter-related thrombosis using a risk reduction tool centered on catheter to vessel ratio. J Thromb Thrombolysis 44:427–434. https://doi.org/10.1007/s11239-017-1569-y

    Article  PubMed  Google Scholar 

  19. Tomita T (1984) Placement of a ventriculoatrial shunt using external jugular catheterization: technical note. Neurosurg 14:74–75. https://doi.org/10.1227/00006123-198401000-00017

    Article  CAS  Google Scholar 

  20. Wilkinson N, Sood S, Ham SD, Gilmer-Hill H, Fleming P, Rajpurkar M (2008) Thrombosis associated with ventriculoatrial shunts. J Neurosurg: Pediatrics 2:286–291. https://doi.org/10.3171/PED.2008.2.10.286

    Article  Google Scholar 

  21. Zhang J, Qu C, Wang Z, Wang C, Ding X, Pan S, Ji Y (2009) Improved ventriculoatrial shunt for cerebrospinal fluid diversion after multiple ventriculoperitoneal shunt failures. Surg Neurol 72(Suppl 1):S29–S33. https://doi.org/10.1016/j.surneu.2008.03.040

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Academic Neurosurgery, Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128, Padova, Italy

    Valentina Baro, Luca Sartori & Luca Denaro

  2. Department of Anesthesia and Intensive Care, Azienda Ospedaliera di Padova, University of Padova, Padova, Italy

    Nicola Zadra

Authors
  1. Valentina Baro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nicola Zadra
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Luca Sartori
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Luca Denaro
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Valentina Baro.

Ethics declarations

Conflict of interest

The authors report no conflict of interest concerning the materials or methods used in this study or the findings disclosed in this paper.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Baro, V., Zadra, N., Sartori, L. et al. Ultrasound-guided percutaneous brachiocephalic vein cannulation for ventriculoatrial shunt placement in a child. Childs Nerv Syst 36, 3099–3102 (2020). https://doi.org/10.1007/s00381-020-04875-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-020-04875-1

Keywords

Search

Navigation