Endoscopic third ventriculostomy in previously shunted children

BRICHTOVÁ, Eva, Martin CHLACHULA, Tomas HRBAC and Radim LIPINA. Endoscopic third ventriculostomy in previously shunted children. Minimally Invasive Surgery. New York: Hindawi Publishing Corporation, 2013, vol. 2013, No 584567, p. 1-4. ISSN 2090-1445. Available from: https://dx.doi.org/10.1155/2013/584567.

Basic information

• Original name: Endoscopic third ventriculostomy in previously shunted children
• Authors: BRICHTOVÁ, Eva (203 Czech Republic, guarantor, belonging to the institution), Martin CHLACHULA (203 Czech Republic), Tomas HRBAC (203 Czech Republic) and Radim LIPINA (203 Czech Republic).
• Edition: Minimally Invasive Surgery, New York, Hindawi Publishing Corporation, 2013, 2090-1445.

Other information

• Original language: English
• Type of outcome: Article in a journal
• Field of Study: 30211 Orthopaedics
• Country of publisher: United States of America
• Confidentiality degree: is not subject to a state or trade secret
• RIV identification code: RIV/00216224:14110/13:00070997
• Organization unit: Faculty of Medicine
• Doi: http://dx.doi.org/10.1155/2013/584567
• UT WoS: 000317163400012
• Keywords in English: Endoscopic third ventriculostomy; obstructive hydrocephalus
• Tags: Reviewed

Abstract

Endoscopic third ventriculostomy (ETV) is a routine and safe procedure for therapy of obstructive hydrocephalus. The aim of our study is to evaluate ETV success rate in therapy of obstructive hydrocephalus in pediatric patients formerly treated by ventriculoperitoneal (V-P) shunt implantation. From 2001 till 2011, ETV was performed in 42 patients with former V-P drainage implantation. In all patients, the obstruction in aqueduct or outflow parts of the fourth ventricle was proved by MRI. During the surgery, V-P shunt was clipped and ETV was performed. In case of favourable clinical state and MRI functional stoma, the V-P shunt has been removed 3 months after ETV. These patients with V-P shunt possible removing were evaluated as successful. In our group of 42 patients we were successful in 29 patients (69%). There were two serious complications (4.7%) - one patient died 2.5 years and one patient died 1 year after surgery in consequence of delayed ETV failure. ETV is the method of choice in obstructive hydrocephalus even in patients with former V-P shunt implantation. In case of acute or scheduled V-P shunt surgical revision, MRI is feasible, and if ventricular system obstruction is diagnosed, the hydrocephalus may be solved endoscopically.