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Endoscopic Third Ventriculostomy with Choroid Plexus Coagulation for Infant Hydrocephalus
Samuel Molot-Toker1, Abhaya V Kulkarni2
1Section of Neurosurgery, University of Manitoba, Winnipeg, MB, Canada.
Advances and Technical Standards in Neurosurgery
|July 2, 2026
Summary
Endoscopic third ventriculostomy with choroid plexus coagulation (ETV-CPC) offers a shunt-free option for infant hydrocephalus. This review explores its history, efficacy, and factors influencing outcomes in pediatric neurosurgery.
Area of Science:
- Pediatric Neurosurgery
- Neurology
- Medical Technology
Background:
- Infant hydrocephalus is a significant global health challenge.
- Endoscopic third ventriculostomy with choroid plexus coagulation (ETV-CPC) has been used for over 20 years.
- ETV-CPC avoids indwelling shunts, which have high costs and failure rates.
Purpose of the Study:
- To review the history and development of ETV-CPC.
- To summarize the literature on ETV-CPC efficacy in diverse populations.
- To identify gaps in knowledge regarding ETV-CPC outcomes.
Main Methods:
- Literature review of ETV-CPC history and application.
- Analysis of studies on ETV-CPC in different geographic and etiologic groups.
- Synthesis of current knowledge on treatment success and failure factors.
Main Results:
- ETV-CPC is a safe and effective treatment for select infant hydrocephalus cases.
- The technique avoids the complications associated with shunts.
- Further research is needed to fully understand comparative efficacy and predictive factors.
Conclusions:
- ETV-CPC is a viable alternative to shunting for infant hydrocephalus.
- Patient-specific factors and family preferences should guide treatment decisions.
- Continued investigation into ETV-CPC outcomes is warranted.
