ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2012
Success criteria in pediatric neuroendoscopic procedures. Proposal for classification of results after 67 operations.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 17 citations in OpenAlex.
- Neuroendoscopic transventricular transchoroidal approach for access to the posterior zone of the third ventricle or pineal region.Neurosurgical review · 2023Article
- Endoscopic third ventriculostomy in children with chronic communicating congenital hydrocephalus: a single-center cohort retrospective analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Article
- Neuroendoscopic biopsy: analysis of a series of 80 patients.Neurosurgical review · 2020Article
- Shunt independence in paediatric hydrocephalus: our 16-year experience and review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019Article
- LOVA: the role of endoscopic third ventriculostomy and a new proposal for diagnostic criteria.Neurosurgical review · 2017Article
- Ventriculoperitoneal shunt as a primary neurosurgical procedure in newborn posthemorrhagic hydrocephalus: report of a series of 47 shunted patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2014Review
- Endoscopic third ventriculostomy: can we predict success during surgery?Neurosurgical review · 2014Article
- Endoscopic Third Ventriculostomy Success Score (ETVSS) predicting success in a series of 50 pediatric patients. Are the outcomes of our patients predictable?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2012Article
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7 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeControversial issues exist concerning criteria for patient selection and long-term success in pediatric neuroendoscopic procedures. We designed a classification of success grades applicable to high-pressure and chronic hydrocephalus and also to those cases in which different endoscopic maneuvers are performed during the same procedure. We then evaluated the success rate and complications in our series.
methodsA total of 59 patients underwent 67 neuroendoscopic procedures between January 2003 and January 2011. A retrospective study was made of the preoperative history, operative reports, and postoperative imaging findings and medical records. A 5-grade scale was developed to assess the type of success depending on clinical and radiological data. Complications related to the surgical procedure were also recorded.
resultsTwo patients were excluded from the success analysis due to insufficient follow-up time. The final results for the first procedures in 57 patients were complete and permanent success (grade I) in 49.1%, complete but transitory success (grade II) in 10.5%, partial success (grade III) in 12.3%, doubtful success (grade IV) in 5.3%, and failure (grade V) in 22.8%. In eight cases a second procedure followed the failure of the first: grade I success was achieved in seven cases (87.5%) and grade V in one case (12.5%). The highest success rates were achieved in cases of hydrocephalus caused by tumors or arachnoid cysts and the lowest in slit ventricle syndrome.
conclusionsA common classification of degrees of success, such as that proposed here, would aid the development of comparative and cooperative studies.
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