Turkish Neurosurgery 2022 , Vol 32 , Num 1
Cervical Venous Vascular Anatomy for Ventriculoatrial Shunt Applications: Anatomical Study and Surgical Approach Recommendation
Baris OZONER1,Ebubekir AKPINAR1,Abuzer GUNGOR1,Akin AKAKIN1,Turker KILIC1
1University of Bahcesehir, School of Medicine, Prof. Rhoton Anatomy and Surgery Training Center, Istanbul, Turkey
2University of Health Sciences, Kartal Dr. Lutfi Kirdar Research and Education Hospital, Department of Neurosurgery, Istanbul, Turkey
3University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Department of Neurosurgery, Istanbul, Turkey
4University of Health Sciences, Bakirkoy Research and Training Hospital for Neurology, Psychiatry, and Neurosurgery, Department of Neurosurgery, Istanbul, Turkey
5University of Bahcesehir, School of Medicine, Department of Neurosurgery, Istanbul, Turkey
DOI : 10.5137/1019-5149.JTN.33796-21.2 AIM: To develop an approach for atrial application of ventriculoatrial (VA) shunts after revealing the venous anatomy with facial and cervical anatomical dissections.

MATERIAL and METHODS: Five cephalic cadavers were used in the study. Facial and cervical regions of the cephalic cadavers were examined with layer by layer anatomical dissection. Venous angiography and ultrasonography were performed to obtain additional data on the cervical venous vascular anatomy. Subsequently, we developed an approach for atrial catheter applications.

RESULTS: No anatomical variations were detected in the dissections. The common facial vein, which was formed by the facial vein and retromandibular vein, was observed to drain into the internal jugular vein. As a result of dissections and examinations, an incision approximately 2 cm below the mandible, extending from the projection of the submandibular notch to the trace of the angulus mandible, was considered adequate to expose the common facial vein for atrial catheter insertion.

CONCLUSION: The approach described in our study is appropriate for the application of an atrial catheter for VA shunts. Revealing the venous anatomy with examinations contributes to the success of the operation. Keywords : Hydrocephalus, Common facial vein, Ventriculoatrial shunt, Operative technique

Corresponding author : Baris OZONER, drbarisozoner@gmail.com