Repeat endoscopic third ventriculostomy success rate according to ventriculostoma closure patterns in children

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dc.authoridUnlu, Agahan/0000-0002-2039-8592
dc.authoridGenc, Hamza/0000-0002-2915-2134
dc.contributor.authorEtus, Volkan
dc.contributor.authorKahilogullari, Gokmen
dc.contributor.authorGokbel, Aykut
dc.contributor.authorGenc, Hamza
dc.contributor.authorGuler, Tugba Morali
dc.contributor.authorOzgural, Onur
dc.contributor.authorUnlu, Agahan
dc.date.accessioned2024-09-29T15:51:03Z
dc.date.available2024-09-29T15:51:03Z
dc.date.issued2021
dc.departmentKarabük Üniversitesien_US
dc.description.abstractPurpose This study aimed to examine the success rate of repeat endoscopic third ventriculostomy (redo-ETV) according to pattern of ventriculostoma closure based on observations in 97 paediatric redo-ETV patients. Methods Clinical data and intraoperative video recordings of 97 paediatric hydrocephalus patients who underwent redo-ETV due to ventriculostoma closure at two institutions were retrospectively analysed. We excluded patients with a history of intraventricular haemorrhage, cerebrospinal fluid (CSF) infection or CSF shunt surgery and those with incompletely penetrated membranes during the initial ETV. Results Verification of ventriculostoma closure was confirmed with cine phase-contrast magnetic resonance imaging and classified into 3 types: type 1, total closure of the ventriculostoma by gliosis or scar tissue that results in a non-translucent/opaque third ventricle floor; type 2, narrowing/closure of the ventriculostoma by newly formed translucent/semi-transparent membranes; and type 3, presence of a patent ventriculostoma orifice with CSF flow blockage by newly formed reactive membranes or arachnoidal webs in the basal cisterns. The overall success rate of redo-ETV was 37.1%. The success rates of redo-ETV according to closure type were 25% for type 1, 43.6% for type 2 and 38.2% for type 3. The frequency of type 1 ventriculostoma closure was significantly higher in patients with myelomeningocele-related hydrocephalus. Conclusion For patients with ventriculostoma closure after ETV, reopening of the stoma can be performed. Our findings regarding the frequencies of ventriculostoma closure types and the success rate of redo-ETV in paediatric patients according to ventriculostoma closure type are preliminary and should be verified by future studies.en_US
dc.identifier.doi10.1007/s00381-020-04949-0
dc.identifier.endpage917en_US
dc.identifier.issn0256-7040
dc.identifier.issn1433-0350
dc.identifier.issue3en_US
dc.identifier.pmid33128603en_US
dc.identifier.scopus2-s2.0-85094869370en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage913en_US
dc.identifier.urihttps://doi.org/10.1007/s00381-020-04949-0
dc.identifier.urihttps://hdl.handle.net/20.500.14619/3865
dc.identifier.volume37en_US
dc.identifier.wosWOS:000583116800002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofChilds Nervous Systemen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectETVen_US
dc.subjectFailureen_US
dc.subjectRepeat ETVen_US
dc.titleRepeat endoscopic third ventriculostomy success rate according to ventriculostoma closure patterns in childrenen_US
dc.typeArticleen_US

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