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Endoscopic Third Ventriculostomy in Previously Shunted Children
Joint Authors
Lipina, Radim
Chlachula, Martin
Hrbac, Tomas
Brichtova, Eva
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Brichtova, Eva& Chlachula, Martin& Hrbac, Tomas& Lipina, Radim. 2013. Endoscopic Third Ventriculostomy in Previously Shunted Children. Minimally Invasive Surgery،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-482770
Modern Language Association (MLA)
Brichtova, Eva…[et al.]. Endoscopic Third Ventriculostomy in Previously Shunted Children. Minimally Invasive Surgery No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-482770
American Medical Association (AMA)
Brichtova, Eva& Chlachula, Martin& Hrbac, Tomas& Lipina, Radim. Endoscopic Third Ventriculostomy in Previously Shunted Children. Minimally Invasive Surgery. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-482770
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-482770