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Statements

Subject Item
n2:RIV%2F00843989%3A_____%2F13%3AE0103676%21RIV14-MZ0-00843989
rdf:type
skos:Concept n14:Vysledek
dcterms:description
Endoscopic third ventriculostomy (ETV) is a routine and safe procedure for therapy of obstructive hydrocephalus. The aim of our study is to evaluate ETV success rate in therapy of obstructive hydrocephalus in pediatric patients formerly treated by ventriculoperitoneal (V-P) shunt implantation. From 2001 till 2011, ETV was performed in 42 patients with former V-P drainage implantation. In all patients, the obstruction in aqueduct or outflow parts of the fourth ventricle was proved by MRI. During the surgery, V-P shunt was clipped and ETV was performed. In case of favourable clinical state and MRI functional stoma, the V-P shunt has been removed 3 months after ETV. These patients with V-P shunt possible removing were evaluated as successful. In our group of 42 patients we were successful in 29 patients (69%). There were two serious complications (4.7%)—one patient died 2.5 years and one patient died 1 year after surgery in consequence of delayed ETV failure. ETV is the method of choice in obstructive hydrocephalus even in patients with former V-P shunt implantation. In case of acute or scheduled V-P shunt surgical revision, MRI is feasible, and if ventricular system obstruction is diagnosed, the hydrocephalus may be solved endoscopically. Endoscopic third ventriculostomy (ETV) is a routine and safe procedure for therapy of obstructive hydrocephalus. The aim of our study is to evaluate ETV success rate in therapy of obstructive hydrocephalus in pediatric patients formerly treated by ventriculoperitoneal (V-P) shunt implantation. From 2001 till 2011, ETV was performed in 42 patients with former V-P drainage implantation. In all patients, the obstruction in aqueduct or outflow parts of the fourth ventricle was proved by MRI. During the surgery, V-P shunt was clipped and ETV was performed. In case of favourable clinical state and MRI functional stoma, the V-P shunt has been removed 3 months after ETV. These patients with V-P shunt possible removing were evaluated as successful. In our group of 42 patients we were successful in 29 patients (69%). There were two serious complications (4.7%)—one patient died 2.5 years and one patient died 1 year after surgery in consequence of delayed ETV failure. ETV is the method of choice in obstructive hydrocephalus even in patients with former V-P shunt implantation. In case of acute or scheduled V-P shunt surgical revision, MRI is feasible, and if ventricular system obstruction is diagnosed, the hydrocephalus may be solved endoscopically.
dcterms:title
Endoscopic third ventriculostomy in previously shunted children Endoscopic third ventriculostomy in previously shunted children
skos:prefLabel
Endoscopic third ventriculostomy in previously shunted children Endoscopic third ventriculostomy in previously shunted children
skos:notation
RIV/00843989:_____/13:E0103676!RIV14-MZ0-00843989
n14:predkladatel
n15:ico%3A00843989
n4:aktivita
n16:V n16:I
n4:aktivity
I, V
n4:cisloPeriodika
n. 1
n4:dodaniDat
n11:2014
n4:domaciTvurceVysledku
n7:7909349 n7:4088166 n7:4297024
n4:druhVysledku
n18:J
n4:duvernostUdaju
n13:S
n4:entitaPredkladatele
n17:predkladatel
n4:idSjednocenehoVysledku
72797
n4:idVysledku
RIV/00843989:_____/13:E0103676
n4:jazykVysledku
n8:eng
n4:klicovaSlova
endoscopy; ventriculocisternostomy; hydrocephalus; ventriculo-peritoneal shunt
n4:klicoveSlovo
n9:hydrocephalus n9:ventriculocisternostomy n9:endoscopy n9:ventriculo-peritoneal%20shunt
n4:kodStatuVydavatele
US - Spojené státy americké
n4:kontrolniKodProRIV
[D91B9EFEA837]
n4:nazevZdroje
Minimally invasive surgery
n4:obor
n12:FH
n4:pocetDomacichTvurcuVysledku
3
n4:pocetTvurcuVysledku
4
n4:rokUplatneniVysledku
n11:2013
n4:svazekPeriodika
2013
n4:tvurceVysledku
Hrbáč, Tomáš Chlachula, Martin Brichtová, E. Lipina, Radim
s:issn
2090-1453
s:numberOfPages
4
n6:doi
10.1155/2013/584567