Prevention of Complications in Endoscopic Third Ventriculostomy

被引:21
作者
Jung, Tae-Young [1 ,2 ]
Chong, Sangjoon [3 ,4 ]
Kim, In-Young [1 ,2 ]
Lee, Ji Yeoun [3 ,4 ,5 ]
Phi, Ji Hoon [3 ,4 ]
Kim, Seung-Ki [3 ,4 ]
Kim, Jae-Hyoo [6 ]
Wang, Kyu-Chang [3 ,4 ]
机构
[1] Chonnam Natl Univ, Med Sch, Dept Neurosurg, Hwasun, South Korea
[2] Hwasun Hosp, Hwasun, South Korea
[3] Seoul Natl Univ, Childrens Hosp, Div Pediat Neurosurg, 101 Daehak Ro, Seoul 03080, South Korea
[4] Seoul Natl Univ, Childrens Hosp, Clin Pediat Neurosci Ctr, 101 Daehak Ro, Seoul 03080, South Korea
[5] Seoul Natl Univ, Coll Med, Dept Anat, Seoul, South Korea
[6] Chonnam Natl Univ, Dept Neurosurg, Med Sch & Hosp, 160 Baekseo Ro, Gwangju 61469, South Korea
基金
新加坡国家研究基金会;
关键词
Neuroendoscopy; Ventriculostomy; Peoperative complications/ prevention & control; PERIOPERATIVE COMPLICATIONS; FATAL COMPLICATION; HYDROCEPHALUS; MANAGEMENT;
D O I
10.3340/jkns.2017.0101.014
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overall rate of permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid these serious complications, we should keep in mind potential complications and how to prevent them. Proper decisions with regard to surgical indication, choice of endoscopic entry and trajectory, careful endoscopic procedures with anatomic orientation, bleeding control and tight closure are emphasized for the prevention of complications.
引用
收藏
页码:282 / 288
页数:7
相关论文
共 28 条
  • [1] Basilar artery perforation as a complication of endoscopic third ventriculostomy
    Abtin, K
    Thompson, BG
    Walker, ML
    [J]. PEDIATRIC NEUROSURGERY, 1998, 28 (01) : 35 - 41
  • [2] Intraoperative bradycardia and postoperative hyperkalemia in patients undergoing endoscopic third ventriculostomy
    Anandh, B
    Reddy, KRM
    Mohanty, A
    Rao, GSU
    Chandramouli, BA
    [J]. MINIMALLY INVASIVE NEUROSURGERY, 2002, 45 (03) : 154 - 157
  • [3] Baykan N, 2005, J NEUROSURG ANESTH, V17, P33
  • [4] Uncontrollable High-Frequency Tachypnea: A Rare and Nearly Fatal Complication of Endoscopic Third Ventriculostomy: Case Report and Literature Review
    Bernard, R.
    Vallee, F.
    Mateo, J.
    Marsella, M.
    George, B.
    Payen, D.
    Chibbaro, S.
    [J]. MINIMALLY INVASIVE NEUROSURGERY, 2010, 53 (5-6) : 270 - 272
  • [5] Use of endoscopic third ventriculostomy in hydrocephalus of tubercular origin
    Bhagwati, Sanat
    Mehta, Nirav
    Shah, Suneel
    [J]. CHILDS NERVOUS SYSTEM, 2010, 26 (12) : 1675 - 1682
  • [6] Complications of Endoscopic Third Ventriculostomy
    Bouras, Triantafyllos
    Sgouros, Spyros
    [J]. WORLD NEUROSURGERY, 2013, 79 (02) : S22.e9 - S22.e12
  • [7] Complications of endoscopic third ventriculostomy A review
    Bouras, Triantafyllos
    Sgouros, Spyros
    [J]. JOURNAL OF NEUROSURGERY-PEDIATRICS, 2011, 7 (06) : 643 - 649
  • [8] Individualized ventricular access using multi-plane brain images
    Chong, Sangjoon
    Lee, Ji Yeoun
    Kim, Seung-Ki
    Phi, Ji Hoon
    Wang, Kyu-Chang
    [J]. CHILDS NERVOUS SYSTEM, 2011, 27 (02) : 299 - 302
  • [9] Failure of third ventriculostomy in the treatment of aqueductal stenosis in children
    Cinalli, G
    Sainte-Rose, C
    Chumas, P
    Zerah, M
    Brunelle, F
    Lot, G
    Pierre-Kahn, A
    Renier, D
    [J]. JOURNAL OF NEUROSURGERY, 1999, 90 (03) : 448 - 454
  • [10] Cinalli G, 2012, PEDIAT HYDROCEPHALUS, P138