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doi:10.22028/D291-38779
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 |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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s00381-022-05776-1.pdf | 1,76 MB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons