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Ventriculoatrial Shunt for Hydrocephalus: Electrocardiographic Control for Accurate Placement

Ventriculoatrial Shunt for Hydrocephalus: Electrocardiographic Control for Accurate Placement Abstract Surgical treatment of hydrocephalus depends on successful bypass of an obstructive process within the ventricular system or, if this is impossible, diversion of the cerebrospinal fluid stream from its normal channels within the central nervous system. Development of competent one-way valves, well tolerated by the tissues, has made it possible to divert the fluid into the blood stream without the hazard of reversal of flow and consequent blockage of the shunt system. Experience has shown that successful shunting requires placement of the distal tube in a portion of the blood stream with rapid flow and turbulence. Under such conditions the hazard of clotting around the tubing is minimized, while more peripheral placement in smaller venous channels results in frequent failure due to clotting and vascular occlusion. Optimum placement, therefore, is in the right atrium or at the junction of the superior vena cava and atrium via the right jugular vein. References 1. Robertson, J. T.; Schick, R. W.; Morgan, F., and Matson, D. D.: Accurate Placement of Ventriculo-Atrial Shunt for Hydrocephalus Under Electrocardiographic Control , J. Neurosurg. 18:255, 1961.Crossref 2. Hellerstein, H. K.: Contributions of Cardiac Catheterization to Electrocardiography , in Zimmerman, H. A., Editor: Intravascular Catheterization , Springfield, Ill., Charles C Thomas, Publisher, 1959, p. 474. 3. Emslie-Smith, D.: The Intracardiac Electrogram as an Aid in Cardiac Catheterization , Brit. Heart J. 17:219, 1955.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Ventriculoatrial Shunt for Hydrocephalus: Electrocardiographic Control for Accurate Placement

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1963.02080040218016
Publisher site
See Article on Publisher Site

Abstract

Abstract Surgical treatment of hydrocephalus depends on successful bypass of an obstructive process within the ventricular system or, if this is impossible, diversion of the cerebrospinal fluid stream from its normal channels within the central nervous system. Development of competent one-way valves, well tolerated by the tissues, has made it possible to divert the fluid into the blood stream without the hazard of reversal of flow and consequent blockage of the shunt system. Experience has shown that successful shunting requires placement of the distal tube in a portion of the blood stream with rapid flow and turbulence. Under such conditions the hazard of clotting around the tubing is minimized, while more peripheral placement in smaller venous channels results in frequent failure due to clotting and vascular occlusion. Optimum placement, therefore, is in the right atrium or at the junction of the superior vena cava and atrium via the right jugular vein. References 1. Robertson, J. T.; Schick, R. W.; Morgan, F., and Matson, D. D.: Accurate Placement of Ventriculo-Atrial Shunt for Hydrocephalus Under Electrocardiographic Control , J. Neurosurg. 18:255, 1961.Crossref 2. Hellerstein, H. K.: Contributions of Cardiac Catheterization to Electrocardiography , in Zimmerman, H. A., Editor: Intravascular Catheterization , Springfield, Ill., Charles C Thomas, Publisher, 1959, p. 474. 3. Emslie-Smith, D.: The Intracardiac Electrogram as an Aid in Cardiac Catheterization , Brit. Heart J. 17:219, 1955.Crossref

Journal

American Journal of Diseases of Children – American Medical Association

Published: Feb 1, 1963

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