Re-Do endoscopic third ventriculostomy. Retrospective analysis of 13 patients

Torres, Jorge Linares; López, Bienvenido Ros; Iglesias, Sara; Sanjuán, Ángela Ros; Rodríguez, A.; Larrazábal, Laura Cerro; Ruiz, Javier Moreno; Sánchez, Miguel Ángel Arráez

doi:10.1016/j.neucie.2021.04.002

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…Thanks to the advent of neuroendoscopic techniques, instruments and devices, hydrocephalus may be solved in a relevant percentage of patients by performing an endoscopic third ventriculostomy (ETV), therefore avoiding the gaps in these LIC. Endoscopic techniques produce minimal lesion to the healthy cerebral tissue with less complications and provides excellent clinical results in terms of hydrocephalus resolution ( Jiménez et al., 2007 ; Shim et al., 2017 ; Lu et al., 2019 ; Jiang et al., 2018 ; Jimenez et al., 2017 ; Uche et al., 2018 ; Linares et al., 2021 ). However, the neuroendoscopy learning curve requires observing, as well as laboratory practice with neuroimage systems or even with virtual reality models before any attempt to perform an ETV ( Baby et al., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries

González-López¹,

Gómez-Revuelta²,

Rizo³

et al. 2023

Brain and Spine

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Section: Introductionmentioning

confidence: 99%

Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries

González-López¹,

Gómez-Revuelta²,

Rizo³

et al. 2023

Brain and Spine

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“…The efficacy of primary ETV has been reported to range between 36.5% and 70.6%, and of secondary ETV between 74.1% and 76%, depending on the different centers, age groups, and etiologies [ 28 ]. Recent studies have reported varying outcomes of Re-ETV in cases of failure, but overall they tend to favor its performance [ 19 , 24 ]. Preferably, an endoscopic exploration that involves reopening the ventriculostomy orifice should be considered as a treatment option.…”

Section: Discussionmentioning

confidence: 99%

Heidelberg ETV score to assess success of ETV in patients with occlusive hydrocephalus: a retrospective single-center study

Issa,

Younsi,

Paggetti

et al. 2023

Neurosurg Rev

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In aqueduct stenosis, pressure difference below and above level of obstruction leads to bulging of third ventricular floor (TVF) and lamina terminalis (LT). Endoscopic third ventriculocisternostomy (ETV) is the standard treatment in these patients. We tried to assess success of ETV depending on those two radiological changes in aqueduct stenosis. We implemented “Heidelberg ETV score” retrospectively to assess the state of TVF as well as LT in same manner in midsagittal MR image. Every patient had a preoperative, direct, 3-months and one-year postoperative score from -2 to + 2. We correlated the scores to clinical course to decide whether the score is reliable in defining success of ETV. Between 2017–2021, 67 (mean age 25.6 ± 23.9y) patients treated with ETV were included. Success rate of primary and Re-ETVs was 91% over 46.8 ± 19.0 months. A marked shift of score to the left after surgery in success group was noticed through the distribution of score immediate postoperative, 3-months later; 70.2% showed (+ 2) before surgery, 38.9% scored (0) after surgery and 50.9% showed further score drop to (-1) 3 months later, p < 0.001. In cases of failure, there was initial decrease after surgery followed by increase with ETV-failure (mean time to failure: 7.2 ± 5.7 months) in 100%. Significant difference was noticed in Heidelberg score at postoperative 1-year- and failure-MRI follow-up between two groups, p < 0.001. Heidelberg score describes anatomical changes in third ventricle after ETV and can serve in assessment of MR images to define success of the procedure in patients with aqueduct stenosis.

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Re-Do endoscopic third ventriculostomy. Retrospective analysis of 13 patients

Cited by 2 publications

References 19 publications

Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries

Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries

Heidelberg ETV score to assess success of ETV in patients with occlusive hydrocephalus: a retrospective single-center study

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