Prevention of Complications in Endoscopic Third Ventriculostomy

A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overal...

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Detalles Bibliográficos
Autores principales: Jung, Tae-Young, Chong, Sangjoon, Kim, In-Young, Lee, Ji Yeoun, Phi, Ji Hoon, Kim, Seung-Ki, Kim, Jae-Hyoo, Wang, Kyu-Chang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurosurgical Society 2017
Materias:
Review Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426448/
https://www.ncbi.nlm.nih.gov/pubmed/28490153
http://dx.doi.org/10.3340/jkns.2017.0101.014
Descripción
Sumario:A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overall rate of permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid these serious complications, we should keep in mind potential complications and how to prevent them. Proper decisions with regard to surgical indication, choice of endoscopic entry and trajectory, careful endoscopic procedures with anatomic orientation, bleeding control and tight closure are emphasized for the prevention of complications.

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