| Endoscopic third ventriculostomy in previously shunted children: a retrospective study. | |
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MedLine Citation:
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PMID: 20352233 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The aim of this study was to assess the mid-term results, success rates, and time-to-failure of secondary endoscopic third ventriculostomy (secondary ETV), as well as the complex management of preoperative and postoperative cares. METHODS: To this purpose, a retrospective analysis of a pediatric population of 22 children who underwent endoscopic third ventriculostomy (ETV) after shunt malfunction (secondary ETV) was performed. RESULTS: The failure rate, given by the percentage of new shunt replacement in the first 3 months after ETV, was 36%, with a mean time to failure of 14.3 days. All the failures were evident within 1 month after the ETV. Despite the small number of patients in our series, we found no significant correlation between ETV failure and both patient age and hydrocephalus etiology (p = 0.47 and p = 0.78, respectively). CONCLUSIONS: In our experience, ETV secondary to shunt malfunction in pediatric patients has a success rate of 64%. As it is a safe and rapid treatment option even in emergency conditions, it is worth performing this procedure in previously shunted children. |
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Authors:
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Elisabetta Marton; Alberto Feletti; Luca Basaldella; Pierluigi Longatti |
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Publication Detail:
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Type: Journal Article Date: 2010-03-30 |
Journal Detail:
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Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 26 ISSN: 1433-0350 ISO Abbreviation: Childs Nerv Syst Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-09 Completed Date: 2010-09-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: Germany |
Other Details:
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Languages: eng Pagination: 937-43 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Treviso Hospital, University of Padova, Piazzale Ospedale 1, Treviso, Italy. emarton@ulss.tv.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Cerebral Ventriculography Child Child, Preschool Endoscopy* Female Humans Hydrocephalus / etiology, surgery* Infant Magnetic Resonance Imaging Male Neurosurgical Procedures* Retrospective Studies Third Ventricle / surgery Tomography, X-Ray Computed Treatment Failure Treatment Outcome Ventriculoperitoneal Shunt* Ventriculostomy* |
| Comments/Corrections | |
Comment In:
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Childs Nerv Syst. 2010 Aug;26(8):991; author reply 993
[PMID:
20461520
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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