Endoscopic Third Ventriculostomy in Previously Shunted Children: a Retrospective Study

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2010 Mar 31

PMID 20352233

Citations 11

Authors

Elisabetta Marton

Alberto Feletti

Luca Basaldella

Pierluigi Longatti

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of this study was to assess the mid-term results, success rates, and time-to-failure of secondary endoscopic third ventriculostomy (secondary ETV), as well as the complex management of preoperative and postoperative cares.

Methods: To this purpose, a retrospective analysis of a pediatric population of 22 children who underwent endoscopic third ventriculostomy (ETV) after shunt malfunction (secondary ETV) was performed.

Results: The failure rate, given by the percentage of new shunt replacement in the first 3 months after ETV, was 36%, with a mean time to failure of 14.3 days. All the failures were evident within 1 month after the ETV. Despite the small number of patients in our series, we found no significant correlation between ETV failure and both patient age and hydrocephalus etiology (p = 0.47 and p = 0.78, respectively).

Conclusions: In our experience, ETV secondary to shunt malfunction in pediatric patients has a success rate of 64%. As it is a safe and rapid treatment option even in emergency conditions, it is worth performing this procedure in previously shunted children.

Citing Articles

Clinical Outcome of Endoscopic Procedure in Patients with Shunt Malfunction.

Kim K, Shim Y, Lee J, Phi J, Koh E, Kim S J Korean Neurosurg Soc. 2023; 66(2):162-171.

PMID: 36755510 PMC: 10009242. DOI: 10.3340/jkns.2022.0089.

Endoscopic third ventriculostomy for management of hydrocephalus associated with Chiari malformation type II in children.

El-Ghandour N, Salama M, Ghoneim M, Attia A Childs Nerv Syst. 2023; 39(6):1565-1571.

PMID: 36700950 PMC: 10227113. DOI: 10.1007/s00381-023-05832-4.

Endoscopic third ventriculostomy in previously shunt-treated patients.

Rocque B, Jensen H, Reeder R, Kulkarni A, Pollack I, Wellons J J Neurosurg Pediatr. 2022; 30(4):428-436.

PMID: 35907200 PMC: 9884313. DOI: 10.3171/2022.6.PEDS22177.

Functional and Radiological Parameters to Assess Outcome of Endoscopic Third Ventriculostomy in Shunt Failure Patients.

Irrinki R, Bawa M, Hegde S, Chhabra R, Gupta V, Gupta S J Pediatr Neurosci. 2019; 14(2):65-69.

PMID: 31516622 PMC: 6712917. DOI: 10.4103/jpn.JPN_31_19.

Endoscopic Third Ventriculostomy in Children with Failed Ventriculoperitoneal Shunt.

Heshmati B, Habibi Z, Golpayegani M, Salari F, Anbarlouei M, Nejat F Asian J Neurosurg. 2019; 14(2):399-402.

PMID: 31143252 PMC: 6515990. DOI: 10.4103/ajns.AJNS_93_18.

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