The Seldinger technique for insertion of difficult to place ventricular catheters

Pediatr Neurosurg. 2003 Feb;38(2):90-3. doi: 10.1159/000068044.

Abstract

Background: Multiloculated ventricular hydrocephalus is a difficult pathology for neurosurgeons to treat. Not only are the shunts for this condition prone to malfunction, but they are also difficult to place.

Methods: The Seldinger technique is used in combination with a rigid scope with a working channel. A soft filiform wire or a thick suture is inserted through the channel. The scope is withdrawn and a ventricular catheter is slid down the wire. The remainder of the shunt is inserted in the usual fashion.

Results: We have not encountered any neurologic compromise from this technique. No bleeding was encountered with the described technique.

Conclusion: The Seldinger technique with appropriate types of guide wires and in combination with an endoscope is a useful technique for difficult to place shunts.

Publication types

  • Case Reports

MeSH terms

  • Catheters, Indwelling*
  • Cerebral Ventriculography
  • Cerebrospinal Fluid Shunts / instrumentation*
  • Child
  • Child, Preschool
  • Endoscopes*
  • Fourth Ventricle / diagnostic imaging
  • Fourth Ventricle / surgery
  • Humans
  • Hydrocephalus / diagnostic imaging
  • Hydrocephalus / surgery*
  • Infant
  • Infant, Newborn
  • Infant, Premature, Diseases / diagnostic imaging
  • Infant, Premature, Diseases / surgery*
  • Male
  • Reoperation / methods
  • Tomography, X-Ray Computed
  • Ventriculostomy / instrumentation*