Jung TY, Chong S, Kim IY, Lee JY, Phi JH, Kim SK, Kim JH, Wang KC. Prevention of Complications in Endoscopic Third Ventriculostomy.
J Korean Neurosurg Soc 2017;
60:282-288. [PMID:
28490153 PMCID:
PMC5426448 DOI:
10.3340/jkns.2017.0101.014]
[Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Revised: 02/19/2017] [Accepted: 02/21/2017] [Indexed: 11/27/2022] Open
Abstract
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.
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