Subclavian catheterization using a cardiac pacemaker introducer set can be an effective alternative for establishing a ventriculovenous shunt when jugular access fails.
May offer alternative access for ventriculovenous shunting when jugular fails; hypothesis-generating and requires prospective validation.
Repeated nonfunction of the distal end of a ventriculoperitoneal shunt led to an unsuccessful attempt to introduce the distal catheter into the vena cava through the jugular vein. Subclavian catheterization utilizing a cardiac pacemaker introducer set proved to be a simple and effective means of establishing a ventriculovenous shunt.
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Lehman et al. (1983) studied this question.
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