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Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population
INTRODUCTION: Ventriculoperitoneal (VP) shunt malfunction is common in pediatric age group patients. There is a high complication rate and revision rate of VP shunt. Endoscopic third ventriculostomy (ETV) can alleviate these complications and can act as an effective alternative for the treatment of...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869297/ https://www.ncbi.nlm.nih.gov/pubmed/33708666 http://dx.doi.org/10.4103/ajns.AJNS_117_20 |
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author | Choudhary, Ajay Sobti, Shivender Zambre, Sourabh Bhaskar, Suryanarayanan |
author_facet | Choudhary, Ajay Sobti, Shivender Zambre, Sourabh Bhaskar, Suryanarayanan |
author_sort | Choudhary, Ajay |
collection | PubMed |
description | INTRODUCTION: Ventriculoperitoneal (VP) shunt malfunction is common in pediatric age group patients. There is a high complication rate and revision rate of VP shunt. Endoscopic third ventriculostomy (ETV) can alleviate these complications and can act as an effective alternative for the treatment of hydrocephalus in this age group of patients. MATERIALS AND METHODS: The authors retrospectively reviewed the management and outcome of 36 failed VP shunts in pediatric patients for the treatment of hydrocephalus. The surgeries were performed between November 2010 and January 2016 in a tertiary care hospital. The minimal follow-up period was 3 months. We divided the patients into the following age groups: <1 year (eight infants), 1–10 years (18 children), and 10–18 years (10 children). The success of the procedure was determined by age, sex, type of hydrocephalus, and the number of shunt revisions and malfunction before ETV. Children with different age (P = 0.839) and sex group did not show any significant data (P = 0.798). Children with communicating hydrocephalus had a success rate of 52.9% (17 patients), and children with noncommunicating hydrocephalus had a success rate of 84.2% (19 patients). The success rate in children with only one shunt malfunction was 57.1% (21 patients), whereas in 15 children with two or more shunt malfunctions, the success rate of ETV was 86.7%. CONCLUSIONS: The authors conclude that ETV is an effective alternative for the treatment of hydrocephalus in children. Age does not present a contraindication for ETV in failed VP shunt. |
format | Online Article Text |
id | pubmed-7869297 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-78692972021-03-10 Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population Choudhary, Ajay Sobti, Shivender Zambre, Sourabh Bhaskar, Suryanarayanan Asian J Neurosurg Original Article INTRODUCTION: Ventriculoperitoneal (VP) shunt malfunction is common in pediatric age group patients. There is a high complication rate and revision rate of VP shunt. Endoscopic third ventriculostomy (ETV) can alleviate these complications and can act as an effective alternative for the treatment of hydrocephalus in this age group of patients. MATERIALS AND METHODS: The authors retrospectively reviewed the management and outcome of 36 failed VP shunts in pediatric patients for the treatment of hydrocephalus. The surgeries were performed between November 2010 and January 2016 in a tertiary care hospital. The minimal follow-up period was 3 months. We divided the patients into the following age groups: <1 year (eight infants), 1–10 years (18 children), and 10–18 years (10 children). The success of the procedure was determined by age, sex, type of hydrocephalus, and the number of shunt revisions and malfunction before ETV. Children with different age (P = 0.839) and sex group did not show any significant data (P = 0.798). Children with communicating hydrocephalus had a success rate of 52.9% (17 patients), and children with noncommunicating hydrocephalus had a success rate of 84.2% (19 patients). The success rate in children with only one shunt malfunction was 57.1% (21 patients), whereas in 15 children with two or more shunt malfunctions, the success rate of ETV was 86.7%. CONCLUSIONS: The authors conclude that ETV is an effective alternative for the treatment of hydrocephalus in children. Age does not present a contraindication for ETV in failed VP shunt. Wolters Kluwer - Medknow 2020-10-19 /pmc/articles/PMC7869297/ /pubmed/33708666 http://dx.doi.org/10.4103/ajns.AJNS_117_20 Text en Copyright: © 2020 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Choudhary, Ajay Sobti, Shivender Zambre, Sourabh Bhaskar, Suryanarayanan Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population |
title | Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population |
title_full | Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population |
title_fullStr | Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population |
title_full_unstemmed | Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population |
title_short | Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population |
title_sort | endoscopic third ventriculostomy in failed ventriculoperitoneal shunt in pediatric population |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869297/ https://www.ncbi.nlm.nih.gov/pubmed/33708666 http://dx.doi.org/10.4103/ajns.AJNS_117_20 |
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