Ultrasound guided cannulation of the right subclavian vein via a supraclavicular approach for the placement of a ventriculoatrial shunt

Abstract

Central venous cannulation is usually performed via the internal jugular vein (IJV) or subclavian vein (SclV) using the Seldinger technique. The puncture of the SclV can be achieved supraclavicular which was described by Yoffa in 1965. The original approach by Yoffa is based on anatomical landmarks. Ventriculoatrial (VA) shunts in patients suffering from hydrocephalus are becoming more common. It is the procedure of choice in patients with ventriculoperitoneal (VP) shunt complications. We present a case of a female patient with a complex cervical venous anatomy and an obscure inaccessible right internal jugular vein (IJV). Subsequently, we decided to use an ultrasound guided supraclavicular approach to the right subclavian vein for implantation of a VA shunt.

Keywords

Ventriculoatrial shunt supraclavicular access infraclavicular access subclavian vein brachiocephalic vein ultrasonography

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References

Yoffa

Supraclavicular subclavian venepuncture and catheterisation. Lancet 1965; 2(7413): 614–617.

Aubaniac

A new route for venous injection or puncture: the subclavicular route, subclavian vein, brachiocephalic trunk. Sem Hop 1952; 28(85): 3445–3447.

Rymarczuk

Keating

Coughlin

, et al A comparison of ventriculoperitoneal and ventriculoatrial shunts in a population of 544 consecutive pediatric patients. Neurosurgery 2020; 87(1): 80–85.

Patrick

Tijunelis

Johnson

, et al Supraclavicular subclavian vein catheterization: the forgotten central line. West J Emerg Med 2009; 10(2): 110–114.

Saugel

Scheeren

TWL

Teboul

J-L.

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Crit Care 2017; 21(1): 225.

Park

Kim

, et al Ultrasound-guided subclavian catheterization in pediatric patients with a linear probe: a case series. Korean J Anesthesiol 2013; 64(6): 541–544.

Lamperti

Biasucci

Disma

, et al European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access). Eur J Anaesthesiol 2020; 37(5): 344–376.

Prasad

Soni

Janweja

, et al Supraclavicular or infraclavicular subclavian vein: which way to go - a prospective randomized controlled trial comparing catheterization dynamics using ultrasound guidance. Indian J Anaesth 2020; 64(4): 292–298.

Kim

Gräff

Sommer

, et al Ultrasound-guided supraclavicular central venous catheter tip positioning via the right subclavian vein using a microconvex probe. J Vasc Access 2016; 17(5): 435–439.

10.

Weber

Kim

SC.

The right supraclavicular ultrasound view for real-time ultrasound-guided definite placement of a central venous catheter with a microconvex transducer. Eur J Anaesthesiol 2014; 31(3): 173–174.