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Related Experiment Videos

Repeat endoscopic third ventriculostomy: is it worth trying?

V Siomin1, H Weiner, J Wisoff

  • 1Dana Children's Hospital, Tel Aviv-Sourasky Medical Center, Israel.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|October 5, 2001
PubMed
Summary
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Repeat endoscopic third ventriculostomy (ETV) is a safe and effective procedure for hydrocephalus when selected patients are chosen. This repeat ETV approach offers comparable outcomes to primary ETV, providing a viable alternative to shunting.

Area of Science:

  • Neurosurgery
  • Pediatric Neurosurgery
  • Hydrocephalus Management

Background:

  • Hydrocephalus management often involves endoscopic third ventriculostomy (ETV).
  • Repeat ETV may be considered when initial procedures fail or complications arise.
  • Understanding the outcomes of repeat ETV is crucial for clinical decision-making.

Purpose of the Study:

  • To evaluate the safety and efficacy of repeat endoscopic third ventriculostomy (ETV).
  • To identify indications and outcomes for repeat ETV in hydrocephalus patients.

Main Methods:

  • Retrospective review of 20 patients undergoing repeat ETV between 1987 and 1999.
  • Analysis of hydrocephalus etiologies, ETV success rates, and complications.
  • Follow-up assessment for need of further interventions like shunting.

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Main Results:

  • Repeat ETV was successful in 65% of patients, avoiding further shunting.
  • Common reasons for repeat ETV failure included scar tissue occlusion and membrane issues.
  • One patient experienced complications including seizures and elevated ICP but recovered fully.

Conclusions:

  • Repeat ETV demonstrates comparable safety and efficacy to primary ETV.
  • The procedure is a viable option for selected hydrocephalus patients.
  • Careful patient selection is recommended for repeat ETV procedures.