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Titel: Image quality and related outcomes of the ShuntScope for catheter implantation in pediatric hydrocephalus : experience of 65 procedures
VerfasserIn: Prajsnar-Borak, Anna
Teping, Fritz
Oertel, Joachim
Sprache: Englisch
Titel: Child's Nervous System
Verlag/Plattform: Springer Nature
Erscheinungsjahr: 2022
Freie Schlagwörter: ShuntScope
Pediatric hydrocephalus
Endoscopy
Ventricular catheter
Shunting
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: Purpose Ventricular catheter implantation in pediatric hydrocephalus can become a highly challenging task due to abnormal anatomical confguration or the need for trans-aqueductal stent placement. Transluminal endoscopy with the ShuntScope has been invented to increase the rate of successful catheter placements. This study aims to evaluate ShuntScope’s image qualities and related surgical outcomes in the pediatric population. Methods A retrospective analysis of all pediatric patients undergoing ventricular catheter placement using the ShuntScope from 01/2012 to 01/2022 in the author’s department was performed. Demographic, clinical, and radiological data were evaluated. The visualization quality of the intraoperative endoscopy was stratifed into the categories of excellent, medium, and poor and compared to the postoperative catheter tip placement. Follow-up evaluation included the surgical revision rate due to proximal catheter occlusion. Results A total of 65 ShuntScope-assisted surgeries have been performed on 51 children. The mean age was 5.1 years. The most common underlying pathology was a tumor- or cyst-related hydrocephalus in 51%. Achieved image quality was excellent in 41.5%, medium in 43%, and poor in 15.5%. Ideal catheter placement was achieved in 77%. There were no intraoperative complications and no technique-related morbidity associated with the ShuntScope. The revision rate due to proximal occlusion was 4.61% during a mean follow-up period of 39.7 years. No statistical correlation between image grade and accuracy of catheter position was observed (p-value was 0.290). Conclusion The ShuntScope can be considered a valuable addition to standard surgical tools in treating pediatric hydrocephalus. Even suboptimal visualization contributes to high rates of correct catheter placement and, thereby, to a favorable clinical outcome.
DOI der Erstveröffentlichung: 10.1007/s00381-022-05776-1
URL der Erstveröffentlichung: https://link.springer.com/article/10.1007/s00381-022-05776-1
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-387796
hdl:20.500.11880/34946
http://dx.doi.org/10.22028/D291-38779
ISSN: 1433-0350
0256-7040
Datum des Eintrags: 20-Jan-2023
Bezeichnung des in Beziehung stehenden Objekts: Supplementary Information
In Beziehung stehendes Objekt: https://link.springer.com/article/10.1007/s00381-022-05776-1#Sec17
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Neurochirurgie
Professur: M - Prof. Dr. Joachim Oertel
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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