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Peer-reviewedCC BY-NC-NDActa neurochirurgica

Dual-step burr hole with periosteal anchoring technique: a robust method for ventricular catheter fixation - how I do it.

  • Yongzhen Hu1
  • Yongkai Qin1
  • Jianhao Liang1
  • Haitong Xu1
  • Jiahong Chen1
  • Xuesong Li2
  1. 1Department of Neurosurgery, The Affiliated Huizhou Hospital, Guangzhou Medical University, Huizhou, Guangdong, China.
  2. 2Department of Neurosurgery, The Affiliated Huizhou Hospital, Guangzhou Medical University, Huizhou, Guangdong, China. [email protected].
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Abstract

Background

Proximal catheter-related complications of ventriculoperitoneal shunt (VPS) and Ommaya reservoir implantation remain an important factor leading to reoperation rates and morbidity. Conventional fixation methods often fail to provide adequate mechanical stability.Methods

A shallow outer burr hole is created to accommodate a catheter with right-angle guide. A smaller inner burr hole is then drilled at the centre to expose the dura and allow catheter passage. The connector is anchored to the preserved pericranium using nonabsorbable sutures, followed by reapproximation of the periosteal flap.Conclusion

This technique provides a robust, multiplanar mechanical barrier against catheter migration and kinking.

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Cite

BibTeXRIS
BibTeX
@article{hu2026dualstep,
  title = {{Dual-step burr hole with periosteal anchoring technique: a robust method for ventricular catheter fixation - how I do it.}},
  author = {Yongzhen Hu and Yongkai Qin and Jianhao Liang and Haitong Xu and Jiahong Chen and Xuesong Li},
  journal = {Acta neurochirurgica},
  year = {2026},
  month = aug,
  doi = {10.1007/s00701-026-06975-4},
  url = {https://europepmc.org/article/MED/42957899},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Dual-step burr hole with periosteal anchoring technique: a robust method for ventricular catheter fixation - how I do it.
AU  - Yongzhen Hu
AU  - Yongkai Qin
AU  - Jianhao Liang
AU  - Haitong Xu
AU  - Jiahong Chen
AU  - Xuesong Li
PY  - 2026
DA  - 2026/08/03
JO  - Acta neurochirurgica
DO  - 10.1007/s00701-026-06975-4
UR  - https://europepmc.org/article/MED/42957899
AB  - Background  Proximal catheter-related complications of ventriculoperitoneal shunt (VPS) and Ommaya reservoir implantation remain an important factor leading to reoperation rates and morbidity. Conventional fixation methods often fail to provide adequate mechanical stability.Methods  A shallow outer burr hole is created to accommodate a catheter with right-angle guide. A smaller inner burr hole is then drilled at the centre to expose the dura and allow catheter passage. The connector is anchored to the preserved pericranium using nonabsorbable sutures, followed by reapproximation of the periosteal flap.Conclusion  This technique provides a robust, multiplanar mechanical barrier against catheter migration and kinking.
SN  - 0001-6268
SN  - 0942-0940
ER  -