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Endoscopic aqueductoplasty and stenting
Michael J Fritsch1, Henry W S Schroeder
1Department of Neurosurgery, Ernst Moritz Arndt Universität Greifswald, Greifswald, Germany. fritschm@dbknb.de
Objective:
This paper discusses indications for and the technique of endoscopic aqueductoplasty with stenting.
Methods:
We review and summarize the clinical experience with endoscopic aqueductoplasty gained over the last 15 years on pediatric and adult patients.
Results:
Endoscopic aqueductoplasty with stenting presents a safe procedure. In well selected patients, it provides a long-term, stable clinical course. Aqueductoplasty alone has a high reclosure rate and should be avoided.
Conclusions:
Aqueductoplasty with stenting is the procedure of choice for the treatment of isolated fourth ventricle. Membranous and tumor-related aqueductal stenosis should be treated by endoscopic third ventriculostomy.
