Accuracy of Ventricular Catheter Tip Placement Using Freehand Placement

Authors

  • DM Arman Assistant Professor, Department of Paediatric Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • Sheikh Muhammad Ekramullah Professor & Head, Department of Paediatric Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • Sudipta Kumer Mukherjee Assistant Professor, Department of Paediatric Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • Samantha Afreen Registrar, Department of Paediatric Neurosurgery, National Institute of Neurosciences and Hospital,Dhaka, Bangladesh
  • Md Anwarul Hoque Faraji Assistant professor, Department of Nephrology, National Institute of Kidney Diseases & Urology, Dhaka, Bangladesh
  • Kazi Nur Asfia Assistant Professor, Department of Neuroanaesthesia, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • MA Quddus Mia Consultant, Department of Neuro-anaesthesia, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
  • Md Aslam Hossain Assistant Professor, Department of General Surgery, Sheikh Hasina Medical College, Tangail, Bangladesh
  • Mohammad Abul Kalam Azad Assistant Professor, Department of Anaesthesia, BIHS General Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jninb.v5i1.42171

Keywords:

Hydrocephalus; ventriculoperitoneal shunt;ventricular catheter placement; accuracy

Abstract

Background: Inaccurate placement of VP shunt catheter is related to shunt failure.

Objective: The objective of this study was to determine the accuracy of ventricular catheter placement during ventriculoperitoneal shunt operations using the freehand technique.

Methodology: This prospective observational study included all patients from a single institution who underwent a ventriculoperitoneal shunt procedure in which a new ventricular catheter was placed between September 2013 and August 2016 for a period of three (03) years. Data abstracted for each patient included age, sex, diagnosis, site and side of ventricular catheter placement. Postoperative CT scan images were reviewed for accuracy of ventricular catheter placement.

Results: There were 140 patients included in the study; accuracy ventricular catheter tip placement were 55 (39.28%) using freehand technique.

Conclusion: Mechanical malfunction and infection are the most significant problems associated with shunts for the treatment of hydrocephalus.

Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 59-63

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Published

2019-07-12

How to Cite

Arman, D., Muhammad Ekramullah, S., Mukherjee, S. K., Afreen, S., Faraji, M. A. H., Asfia, K. N., Mia, M. Q., Hossain, M. A., & Azad, M. A. K. (2019). Accuracy of Ventricular Catheter Tip Placement Using Freehand Placement. Journal of National Institute of Neurosciences Bangladesh, 5(1), 59–63. https://doi.org/10.3329/jninb.v5i1.42171

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Section

Original Research Articles