Failure of Endoscopic Third Ventriculostomy

Lane, Jessica; Akbari, S. Hassan A.

doi:10.7759/cureus.25136

Cited by 5 publications

(9 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ETV represents an attractive treatment option for patients with hydrocephalus, especially in cases where the long-term success of CSF diversion is important, or where CSF shunting is not appropriate. While ETV has better long-term complication rates than VPS, it does carry a risk of short-term failure and complications, most notably damage to the BA [ 8 ]. During ETV, the fenestration of the third ventricular floor carries the highest risk for damage to the BA, and anatomic variants including a high riding BA increase this risk [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video

Lynch,

Mehta,

Shah

et al. 2023

Cureus

View full text Add to dashboard Cite

Endoscopic third ventriculostomy (ETV) is an effective cerebrospinal fluid diversion procedure but can be complicated by the presence of a high-riding basilar artery (BA). A 70-year-old female presented with obstructive hydrocephalus caused by melanoma metastatic to the brainstem in the setting of a high-riding BA. ETV was successfully performed using the Penumbra Artemis™ Neuro evacuation device (Artemis; Penumbra Inc, Alameda, CA, USA) to minimize the risk of injury to the BA. This is to our knowledge the first known Artemis-assisted ETV reported in the English literature, which may reduce the risk of BA injury in selected patients. Further characterization of the benefits and limitations of this procedure is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video

Lynch,

Mehta,

Shah

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Although ETV is widely used in the treatment of hydrocephalus, its success rate is below 100%, and about 25 to 40% of patients undergoing ETV require further ventricular-peritoneal shunting [25,28,29]. In a study by Iantosca, after analyzing the relationship between the etiology of hydrocephalus and the prognosis of ETV [30], patients with hydrocephalus were divided into three groups according to surgical success rates.…”

Section: Patient Selection For Endoscopic Third Ventriculostomymentioning

confidence: 99%

“…In patients with a thinned, bowed translucent floor, often, the basilar artery may be observed. A thick massa intermedia and interhypothalamic adhesions increase the risk of hypothalamic injury, and sometimes, ETV has to be abandoned [28,32].…”

Section: Technical Considerations Of Endoscopic Third Ventriculostomymentioning

confidence: 99%

“…The reason for the higher incidence in infants and young children may be that the absorption function of pediatric arachnoid granules is not fully developed. When a large amount of CSF in the ventricle or cyst cavity enters the subarachnoid space, it cannot be absorbed by arachnoid particles; coupled with the weak healing ability of the pediatric scalp, the CSF gushes out along the ventricular endoscopic channel, resulting in CSF leakage [28].…”

Section: Cerebrospinal Fluid Leakagementioning

confidence: 99%

See 1 more Smart Citation

Neuroendoscopic Techniques in the Treatment of Hydrocephalus

Wu¹

2023

Frontiers in Hydrocephalus

View full text Add to dashboard Cite

Neuroendoscopic techniques have been used to treat hydrocephalus for more than 100 years. With the personalized design of surgical approaches, increased knowledge of ventricular anatomy, and improved neuroendoscopic equipment, the last 20 years have witnessed tremendous advances in the development of neuroendoscopic technology, especially in the treatment of hydrocephalus. Except for obstructive hydrocephalus, the application of neuroendoscopic technology in the field of hydrocephalus is also expanding and has received good results, mainly in the fields of pediatric hydrocephalus and communicating hydrocephalus. Additionally, many scholars have achieved satisfactory results in the application of ventriculoscopy to complex hydrocephalus. Among neuroendoscopic techniques, the third ventricular floor fistula and cyst wall fistula methods are commonly used in the treatment of hydrocephalus and are highlighted in this chapter. Undoubtedly, neuroendoscopic technology has become one of the key treatment methods for hydrocephalus, with its high success rate, few complications, and accurate long-term efficacy.

show abstract

“…The failure pattern for ETV is different from shunting, with a higher early failure rate but improved long-term failure-free survival rates. There is insufficient evidence to recommend the use of ETV in premature infants with posthemorrhagic hydrocephalus [ 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Ventriculocysternostomy, Magendie Foraminoplasty, and Plexusectomy With Craniovertebral Shunt Placement in a Pediatric Patient With Hydrocephalus and VACTERL Association: A Novel Treatment Option

Asadov,

Bernard,

Enelis

2024

Cureus

View full text Add to dashboard Cite

Endoscopic third ventriculocysternostomy (ETV) is a minimally invasive neurosurgical technique with good results in the treatment of obstructive hydrocephalus. The VACTERL (vertebrae, anorectal, cardiovascular, tracheal, esophageal, renal, limb defects) association, or VATER syndrome, is defined as congenital malformations, mostly derived from the mesoderm, affecting specific areas. It is diagnosed by the presence of at least three of the seven characteristic malformations that describe it. The association of this pathology and obstructive hydrocephalus in pediatric age is not common, making management and conventional neurosurgical procedures difficult due to the number of underlying pathologies. In this study, we report the management of hydrocephalus and VACTERL association with multiple congenital malformations in a 30-day-old premature neonate (birth at 29 weeks). Operations performed prior to admission to our service included: coloesophagoplasty and placement of esophagostoma in the left anterior cervical region, perineal anorectoplasty, gastrostomy and placement of sigmoidostomy in the left anterior abdominal wall, relaparotomy, gastric suture, sanitation, and abdominal drainage. Upon admission, the patient showed a Grade 3 intraventricular hemorrhage and internal occlusive hydrocephalus due to circulatory blockage of the cerebrospinal fluid (CSF) at the level of the outlet of the fourth ventricle. This was accompanied by intracranial hypertension and refractory cervical syringomyelia. We performed endoscopic ventriculocysternostomy plus plexusectomy plus Magendie foraminoplasty with craniovertebral shunt placement, achieving excellent results after two interventions. This is the first case described in the literature placing a craniovertebral shunt using a lateral-ventricle-to-the-subarachnoid-spinal-space-stenting technique in a patient with VACTERL association, which represents an innovation in the field of minimally invasive pediatric neurosurgery.

show abstract

Failure of Endoscopic Third Ventriculostomy

Cited by 5 publications

References 51 publications

Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video

Endoscopic Third Ventriculostomy Using Penumbra Artemis™ Neuro Evacuation Device: Technical Case Report and Operative Video

Neuroendoscopic Techniques in the Treatment of Hydrocephalus

Endoscopic Ventriculocysternostomy, Magendie Foraminoplasty, and Plexusectomy With Craniovertebral Shunt Placement in a Pediatric Patient With Hydrocephalus and VACTERL Association: A Novel Treatment Option

Contact Info

Product

Resources

About