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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Related Experiment Video

Updated: Jun 18, 2025

Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy
03:13

Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy

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Stented endoscopic third ventriculostomy: technique, safety, and indications-a multicenter multinational study.

Lee Azolai1, Valentina Pennacchietti2, Matthias Schulz2

  • 1Departments of Neurosurgery and Pediatric Neurosurgery, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|August 5, 2024
PubMed
Summary

Stented endoscopic third ventriculostomy (sETV) is a safe and feasible treatment for obstructive hydrocephalus, particularly in cases of prior ETV failure or anatomical challenges. This technique shows promising results in selected patients, offering an alternative to traditional methods.

Keywords:
Endoscopic third ventriculostomyHydrocephalusOmmayaScarringStent

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Area of Science:

  • Neurosurgery
  • Pediatric Neurosurgery
  • Hydrocephalus Management

Background:

  • Obstructive hydrocephalus is often treated with endoscopic third ventriculostomy (ETV).
  • Secondary stoma closure is a common cause of late ETV failure, often due to scarring.
  • Local stents to maintain ETV patency are infrequently utilized.

Purpose of the Study:

  • To evaluate the efficacy and safety of stented ETV (sETV).
  • To summarize the experience with sETV across multiple neurosurgical centers.

Main Methods:

  • Retrospective data collection from 67 patients undergoing sETV at four centers.
  • Analysis of indications, hydrocephalus history, surgical techniques, outcomes, and complications.
  • Inclusion of both primary and secondary sETV cases.

Main Results:

  • 88% of sETV procedures (59/67 patients) were successful.
  • Common indications included thick tuber cinereum (24), prior ETV failure (16), and tumors (15).
  • Complications included hygroma (4), CSF leak (2), and stent malposition (1); no complications occurred during stent removal.

Conclusions:

  • Stented ETV is a feasible and safe option for selected hydrocephalus patients.
  • Consider sETV for cases with prior ETV failure or anatomical issues like tumors or thickened tuber cinereum.
  • Further research is needed to define the role of sETV in non-communicating hydrocephalus.