Local good for me
I had the catheter placed in my right jugular vein – local worked for me just fine, no pain. The Dr. did use the x-ray device to ‘see’ where the shunt went and to guide it. Several stitches helped hold it in place. It has an ‘in’ and an ‘out.’
I’m about 5’9″, 160lb, so my veins are easy to access. It was annoying to live with it in place for a week, but mildly so.
Just make sure everyone washes hands, uses masks and takes every precaution against infection. Pain is minimal. Guarding against Infection s/b main concern.
Removing it also easy. Done by nurse.