The Seldinger technique for insertion of difficult to place ventricular catheters

Cornelius H. Lam, Medina Horrigan, Darren S. Lovick

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


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 The scope is withdrawn and a ventricular catheter is slid down the wire.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.

Original languageEnglish (US)
Pages (from-to)90-93
Number of pages4
JournalPediatric Neurosurgery
Issue number2
StatePublished - Feb 3 2003


  • Catheter
  • Seldinger technique
  • Shunt
  • Ventricle


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