NYMC Faculty Publications
A Minimally Invasive Technique for Ventriculoatrial Shunt Placement
Author Type(s)
Faculty
DOI
10.1016/j.clineuro.2025.109016
Journal Title
Clinical Neurology and Neurosurgery
Document Type
Article
Publication Date
9-1-2025
Department
Neurosurgery
Keywords
Frazier's point, Hydrocephalus, Kocher's point, Seldinger technique, Ventriculoartrial shunt, Ventriculoperitoneal shunt
Disciplines
Medicine and Health Sciences
Abstract
Ventriculoperitoneal shunts (VPS) is a first-line option in the surgical management of hydrocephalus. However, a ventriculoatrial shunt (VAS) becomes valuable in conditions where cerebrospinal fluid drainage into the abdomen is unsuitable. Although the VAS technique has been described in previous studies, we present a minimally invasive approach supplemented with step-by-step image and video guidance. Based on our experience with over 200 cases, we have developed a safe and efficient technique for VAS placement. We further discuss the surgical setup, procedure, and complications associated with VAS placement. This procedure should be individualized, considering the patient's anatomy and pathology. Overall, VAS procedure is a reliable, safe, and simple to learn alternative for the management of hydrocephalus in patients with compromised peritoneum or contraindication to VPS.
Recommended Citation
Okafo, U., Albakr, A., Adeleke, S., Rahmanov, S., Sabahi, M., Borghei-Razavi, H., & Adada, B. (2025). A Minimally Invasive Technique for Ventriculoatrial Shunt Placement. Clinical Neurology and Neurosurgery, 256. https://doi.org/10.1016/j.clineuro.2025.109016
