Trial reportChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2006
Assessment of the influence of operative factors in the success of endoscopic third ventriculostomy in children.
Trial report in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 49 citations in OpenAlex.
- Failure of Endoscopic Third Ventriculostomy.Cureus · 2022Review
- Anatomic variations of the floor of the third ventricle: Surgical implications for endoscopic third ventriculostomy.Surgical neurology international · 2022Article
- Endoscopic third ventriculostomy in children with a fiber optic neuroendoscopy.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Article
- Prediction of endoscopic third ventriculostomy (ETV) success with 3D-SPACE technique.Neurosurgical review · 2015Article
- Endoscopic third ventriculostomy: can we predict success during surgery?Neurosurgical review · 2014Article
- Endoscopic neurosurgery in preterm and term newborn infants--a feasibility report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2013Article
- Endoscopic third ventriculostomy in patients with shunt malfunction.Journal of Korean Neurosurgical Society · 2011Article
- Surgery for hydrocephalus in sub-Saharan Africa versus developed nations: a risk-adjusted comparison of outcome.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2010Article
- A retrospective analysis of revision endoscopic third ventriculostomy.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2010Article
- Endoscopic third ventriculostomy for obstructive hydrocephalus in children younger than 6 months of age: is it a first-choice method?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2008Article
- Complications of endoscopic third ventriculostomy.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2008Article
- Role of galeal-pericranial flap in reducing postoperative CSF leak in patients with intracranial endoscopic procedures.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2008Article
- Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children.Asian journal of neurosurgeryArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine if operative factors correlate with success of endoscopic third ventriculostomy (ETV) in the treatment of hydrocephalus. MATERIALS AND
methodsThe ETV procedure video of 33 hydrocephalic children was reviewed. Mean age at operation was 76 months (range: 1-196). Success was defined as no need for shunt in the long term. We calculated the relative size of stoma as the percentage of stoma diameter to the distance between posterior clinoid-basilar artery. Factors analysed were: intra-operative haemorrhage, stoma size, thick/double third ventricular floor, pre-pontine adhesions presence, brisk cerebro-spinal fluid (CSF) flow through the stoma as well as hydrocephalus cause, previous shunt presence, CSF infection or haemorrhage and previous ETV. Analysis was performed using chi-square, linear regression, and one-way ANOVA.
resultsOverall ETV success rate was 42%. Mean stoma size was 37%. For the entire group, none of the operative factors correlated statistically with success. Previous shunt presence adversely correlated with success (p=0.008). The highest success rate was in the aqueduct stenosis group. In patients without previous shunt (n=17), stoma size over 30% tended towards significance (p=0.094), CSF leak was adversely associated with ETV success (p=0.041) and mean stoma size was 41.3% in successful ETV and 27.8% in unsuccessful ETV (p=0.072). In patients with previous shunt (n=16), thin third ventricular floor was a negative predisposing factor (p=0.057).
conclusionThis study did not demonstrate a correlation between the presence of pre-pontine adhesions, double or thickened floor of third ventricle and ETV success. In patients without previous shunt, stoma size may correlate with success. CSF leak was strongly associated with failure.
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