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A new technique for accurate placing of the tip of the atrial catheter in ventriculo-atrial shunt operations for hydrocephalus

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Summary

A new method for accurate positioning of the tip of the atrial catheter in the middle of the right atrium in ventriculoatrial shunt operations is described. The correct length of the catheter is obtained from a consideration of the surface anatomy of the heart in each patient. The position of the tip of the catheter was checked by postoperative chest radiographs in posteroanterior and lateral views. The technique was used in 50 cases of hydrocephalus in which ventriculoatrial shunts were performed. The approach is simple and reliable, and is useful not only for elective operations but also in emergency situations where specialized monitoring equipment is not readily available.

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References

  1. Bouchard, G., Dieckmann, G., Ganglberger, J., Gattner-Ponitz, M., Hemmer, R., Horstmann, W., Luthardt, Th., Mundinger, F., Orgass, B., Scholtz, W., Struck, G., Tiling, E., Erfahrungen mit der modernen operativen Hydrozephalusbehandlung. Arch. Kinderheilk.51 (1964), 1–64.

    Google Scholar 

  2. Elkins, C. W., Fonseca, J. E., Ventriculovenous anastomosis in obstructive and acquired communicating hydrocephalus. J. Neurosurg.18 (1961), 139–144.

    PubMed  Google Scholar 

  3. Gurdjian, E. S., Thomas, L. M., Operative Neurosurgery, pp. 208, 3rd Ed. Baltimore: Williams & Wilkins. 1970.

    Google Scholar 

  4. Jackson, J. D., 1965, Ventriculo-atrial shunt in the management of Hydrocephalus. Southern Med. J.58 (1965), 405.

    Google Scholar 

  5. Järpe, S., Hebbe, B., Jeppsson, S., A new method for accurate placement of the Holter Caval catheter in hydrocephalus surgery. Acta Chir. Scand.135 (1969), 121–125.

    PubMed  Google Scholar 

  6. Kurlander, G. J., Chna, G. T., Roentgenology of ventriculo-atrial shunts for the treatment of hydrocephalus. Amer. J. Roentgenol.101 (1967), 157–167.

    PubMed  Google Scholar 

  7. Lepoire, J., Lapras, C., Traitement de l'Hydrocéphalique non tumorale du nourrisson par la dérivation ventriculo-atriale. Neuro-Chirurgie13 (1967), 211–342.

    PubMed  Google Scholar 

  8. Lombard, G. F., Micheletti, P. C., Morgando, E., Contributo dell' electrocardiogramma al l'Intervento di Spitz-Holter. Min. Neurochir.7 (1963), 66–67.

    Google Scholar 

  9. Mark, V. H., Sweet, W. H., Ventriculo-atriostomy; a technical note: The accurate placement of the distal end of the shunt into the right atrium without X-ray control. Neurochirurgia (Stuttgart)3 (1960), 115–120.

    Google Scholar 

  10. McLaurin, R. L., Glass, I. H., Kaplan, S., Ventriculo-atrial shunt for hydrocephalus. Electrocardiographic control for accurate placement. Amer. J. Dis. Child.205 (1963), 216–218.

    Google Scholar 

  11. Rickham, P. P., Hydrocephalus. In Neonatal surgery. pp. 472, ed. by P. P. Rickham and J. H. Johnston. London: Butterworth. 1969.

    Google Scholar 

  12. Robertson, J. T., Schick, R. W., Morgan, E., Matson, D. D., Accurate placement of ventriculo-atrial shunt for hydrocephalus under electrocardiographic control. J. Neurosurg.18 (1961), 255–257.

    PubMed  Google Scholar 

  13. Robinson, J. O., Rawlings' Landmarks and surface markings of the human body. pp. 51, 9th ed. London: H. K. Lewis & Co. Ltd. 1953.

    Google Scholar 

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Author notes

  1. M. Rohatgi

    Present address: Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India

Authors and Affiliations

  1. Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India

    R. K. Goulatia

Authors
  1. M. Rohatgi
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  2. R. K. Goulatia
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Rohatgi, M., Goulatia, R.K. A new technique for accurate placing of the tip of the atrial catheter in ventriculo-atrial shunt operations for hydrocephalus. Acta neurochir 33, 167–172 (1976). https://doi.org/10.1007/BF01886667

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  • DOI: https://doi.org/10.1007/BF01886667

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