caa a22 4500 463180674 CHVBK 20180406164838.0 cr unu---uuuuu 170326e20070801xx s 000 0 eng 10.1007/s00381-007-0304-y doi (NATIONALLICENCE)springer-10.1007/s00381-007-0304-y Ultrasound-guided percutaneous placement of ventriculoatrial shunts [Elektronische Daten] [L. Ellegaard, S. Mogensen, M. Juhler] Introduction: In accordance with the literature on ventriculoatrial (VA) shunts, a percutaneous approach to the internal jugular vein is preferable to surgical preparation of the vein before catheter placement. Inspired by the above and the problems still remaining in the percutaneous method and successful results from anaesthesiology with the use of ultrasound-guided placement of central venous catheters, we have implemented an ultrasound-guided percutaneous technique for placement of VA shunts including pre- and intraoperative ultrasound guidance. Methods: Data on 26 VA shunt operations were collected and analysed with special reference to the applicability of the method to pediatric patients, surgical complications and differences between revisions and first-time VA shunts. Conclusions: All patients with VA shunt indications were operated successfully with this technique including children down to the age of 5years. The ultrasound-guided percutaneous technique results in a safe, quick and easy procedure with preoperative knowledge of the diameter of the vein, no accidental carotid artery puncture or pneumothorax, a minimal blood loss, a short operative time, few infectious complications and a good cosmetic result. Results for all parameters were identical in first-time VA shunt operations and revisions. Springer-Verlag, 2007 Hydrocephalus nationallicence Vascular shunt nationallicence Ultra sound nationallicence Percutaneous insertion nationallicence Catheterization nationallicence Atrial catheter nationallicence Ventriculoveneous shunt nationallicence Cerebrospinal fluid shunt nationallicence Ellegaard L. Department of Neurosurgery, Rigshospitalet, 2092, Blegdamsvej 9, 2100, Copenhagen, Denmark aut Mogensen S. Department of Neuro-anaestesiology, Rigshospitalet, Copenhagen, Denmark aut Juhler M. Department of Neurosurgery, Rigshospitalet, 2092, Blegdamsvej 9, 2100, Copenhagen, Denmark aut Child's Nervous System Springer-Verlag 23/8(2007-08-01), 857-862 0256-7040 23:8<857 2007 23 381 https://doi.org/10.1007/s00381-007-0304-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0304-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ellegaard L. Department of Neurosurgery, Rigshospitalet, 2092, Blegdamsvej 9, 2100, Copenhagen, Denmark aut NATIONALLICENCE 700 1- Mogensen S. Department of Neuro-anaestesiology, Rigshospitalet, Copenhagen, Denmark aut NATIONALLICENCE 700 1- Juhler M. Department of Neurosurgery, Rigshospitalet, 2092, Blegdamsvej 9, 2100, Copenhagen, Denmark aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/8(2007-08-01), 857-862 0256-7040 23:8<857 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer