Third Ventriculostomy Vs Ventriculoperitoneal Shunt in Pediatric Obstructive Hydrocephalus: Results from a Swiss Series and Literature Review

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2007 Jan 18

PMID 17226034

Citations 28

Authors

Sandrine De Ribaupierre

B Rilliet

O Vernet

L Regli

J-G Villemure

Affiliations

Soon will be listed here.

Abstract

Introduction: Few series compare endoscopic third ventriculostomies (ETV) and ventriculoperitoneal shunts (VPS). To avoid the complications after a shunt insertion, there is an increased tendency to perform a third ventriculostomy. We reviewed all pediatric patients operated in the French-speaking part of Switzerland for a newly diagnosed obstructive hydrocephalus since 1992 and compared the outcome of patients who benefited from ETV to the outcome of patients who benefited from VPS. There were 24 ETV and 31 VPS.

Discussion: At 5 years of follow-up, the failure rate of ETV was 26%, as compared to 42% for the VPS group. This trend is also found in the pediatric series published since 1990 (27 peer-reviewed articles analyzed).

Conclusion: In accordance to this trend, although a statistical difference cannot be assessed, we believe that ETV should be the procedure of choice in pediatric obstructive hydrocephalus.

Citing Articles

Clinical and radiologic criteria to predict endoscopic third ventriculostomy success in non-communicating pediatric hydrocephalus.

Tatoshvili D, Schaumann A, Tietze A, Pennacchietti V, Cohrs G, Schulz M Childs Nerv Syst. 2024; 41(1):57.

PMID: 39681728 PMC: 11649818. DOI: 10.1007/s00381-024-06704-1.

Current Trends in the Treatment of Pediatric Hydrocephalus: A Narrative Review Centered on the Indications, Safety, Efficacy, and Long-Term Outcomes of Available Treatment Modalities.

Panagopoulos D, Stranjalis G, Gavra M, Boviatsis E, Korfias S, Karydakis P Children (Basel). 2024; 11(11).

PMID: 39594909 PMC: 11593021. DOI: 10.3390/children11111334.

Ventriculoperitoneal shunt infection rate and other associated complications of VP shunt insertion in Abuja, Nigeria.

Ayogu O, Igbokwe K, Jabir K, Onobun E, Okpata C, Ugwuanyi U World Neurosurg X. 2024; 23:100332.

PMID: 38533233 PMC: 10963310. DOI: 10.1016/j.wnsx.2024.100332.

Hydrocephalus Resolution with Third Ventriculostomy with Floor Stenting: Technical Note and Literature Review.

Vanzin J, Martio A, Santos M, Azambuja Jr N, Karam O, Manzato L Curr Health Sci J. 2024; 49(3):438-444.

PMID: 38314218 PMC: 10832873. DOI: 10.12865/CHSJ.49.03.19.

Heidelberg ETV score to assess success of ETV in patients with occlusive hydrocephalus: a retrospective single-center study.

Issa M, Younsi A, Paggetti F, Miotk N, Seitz A, Bendszus M Neurosurg Rev. 2023; 46(1):214.

PMID: 37644240 PMC: 10465657. DOI: 10.1007/s10143-023-02122-0.

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