Complications and risk factors of endoscopic third ventriculostomy: A 10-year single-centre study and systematic literature review
Introduction: Endoscopic third ventriculostomy is considered a safe and low-risk treatment of obstructive hydrocephalus. No systematic review has been conducted recently to establish benchmarks for success and complication rates. This knowledge gap makes it difficult to evaluate local institutional...
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Elsevier
2025-01-01
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| Series: | Brain and Spine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529425001109 |
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| author | Einar Naveen Møen Christian André Helland Rupavathana Mahesparan |
| author_facet | Einar Naveen Møen Christian André Helland Rupavathana Mahesparan |
| author_sort | Einar Naveen Møen |
| collection | DOAJ |
| description | Introduction: Endoscopic third ventriculostomy is considered a safe and low-risk treatment of obstructive hydrocephalus. No systematic review has been conducted recently to establish benchmarks for success and complication rates. This knowledge gap makes it difficult to evaluate local institutional performance against international results. Research question: What are the results of endoscopic third ventriculostomy for obstructive hydrocephalus in the literature, and how does it compare to the results of our medium-sized neurosurgical center? Material and methods: We performed a retrospective case series of patients treated at the Department of Neurosurgery, Haukeland University Hospital, from January 1, 2013, to December 31, 2023. A systematic review was performed in accordance with the PRISMA guidelines. Results: Our case series consisted of 127 patients in a mixed-age cohort (mean: 37.3, range: 0–86) treated with endoscopic third ventriculostomy for hydrocephalus the last ten years. Previous shunting and neurosurgery were identified as risk factors for endoscopic third ventriculoscopy failure. In our systematic review, we found 64 reports with a total of 8409 patients eligible for inclusion. A higher success rate (78.7%) and complication rate (21.3%) were found in our patient material compared to the findings in our systematic review (respectively 73.4% and 11.6%). All complications in our material were transient and did not cause any permanent morbidity. Discussion and conclusions: Endoscopic third ventriculostomy has a favorable safety profile with high success rates in the treatment of obstructive hydrocephalus. Results from our systematic review can be used for internal audits at other neurosurgical centers. |
| format | Article |
| id | doaj-art-e0fa801d5710422286dd2408a1ae0a4e |
| institution | OA Journals |
| issn | 2772-5294 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj-art-e0fa801d5710422286dd2408a1ae0a4e2025-08-20T02:02:51ZengElsevierBrain and Spine2772-52942025-01-01510429110.1016/j.bas.2025.104291Complications and risk factors of endoscopic third ventriculostomy: A 10-year single-centre study and systematic literature reviewEinar Naveen Møen0Christian André Helland1Rupavathana Mahesparan2Department of Clinical Medicine, University of Bergen, Bergen, NorwayDepartment of Neurosurgery, Haukeland University Hospital, University of Bergen, Bergen, NorwayDepartment of Clinical Medicine, University of Bergen, Bergen, Norway; Department of Neurosurgery, Haukeland University Hospital, University of Bergen, Bergen, Norway; Corresponding author. Department of Clinical Medicine, University of Bergen, Bergen, Norway.Introduction: Endoscopic third ventriculostomy is considered a safe and low-risk treatment of obstructive hydrocephalus. No systematic review has been conducted recently to establish benchmarks for success and complication rates. This knowledge gap makes it difficult to evaluate local institutional performance against international results. Research question: What are the results of endoscopic third ventriculostomy for obstructive hydrocephalus in the literature, and how does it compare to the results of our medium-sized neurosurgical center? Material and methods: We performed a retrospective case series of patients treated at the Department of Neurosurgery, Haukeland University Hospital, from January 1, 2013, to December 31, 2023. A systematic review was performed in accordance with the PRISMA guidelines. Results: Our case series consisted of 127 patients in a mixed-age cohort (mean: 37.3, range: 0–86) treated with endoscopic third ventriculostomy for hydrocephalus the last ten years. Previous shunting and neurosurgery were identified as risk factors for endoscopic third ventriculoscopy failure. In our systematic review, we found 64 reports with a total of 8409 patients eligible for inclusion. A higher success rate (78.7%) and complication rate (21.3%) were found in our patient material compared to the findings in our systematic review (respectively 73.4% and 11.6%). All complications in our material were transient and did not cause any permanent morbidity. Discussion and conclusions: Endoscopic third ventriculostomy has a favorable safety profile with high success rates in the treatment of obstructive hydrocephalus. Results from our systematic review can be used for internal audits at other neurosurgical centers.http://www.sciencedirect.com/science/article/pii/S2772529425001109HydrocephalusEndoscopic third ventriculostomySurgical outcomesQuality assuranceSystematic reviewCase series |
| spellingShingle | Einar Naveen Møen Christian André Helland Rupavathana Mahesparan Complications and risk factors of endoscopic third ventriculostomy: A 10-year single-centre study and systematic literature review Brain and Spine Hydrocephalus Endoscopic third ventriculostomy Surgical outcomes Quality assurance Systematic review Case series |
| title | Complications and risk factors of endoscopic third ventriculostomy: A 10-year single-centre study and systematic literature review |
| title_full | Complications and risk factors of endoscopic third ventriculostomy: A 10-year single-centre study and systematic literature review |
| title_fullStr | Complications and risk factors of endoscopic third ventriculostomy: A 10-year single-centre study and systematic literature review |
| title_full_unstemmed | Complications and risk factors of endoscopic third ventriculostomy: A 10-year single-centre study and systematic literature review |
| title_short | Complications and risk factors of endoscopic third ventriculostomy: A 10-year single-centre study and systematic literature review |
| title_sort | complications and risk factors of endoscopic third ventriculostomy a 10 year single centre study and systematic literature review |
| topic | Hydrocephalus Endoscopic third ventriculostomy Surgical outcomes Quality assurance Systematic review Case series |
| url | http://www.sciencedirect.com/science/article/pii/S2772529425001109 |
| work_keys_str_mv | AT einarnaveenmøen complicationsandriskfactorsofendoscopicthirdventriculostomya10yearsinglecentrestudyandsystematicliteraturereview AT christianandrehelland complicationsandriskfactorsofendoscopicthirdventriculostomya10yearsinglecentrestudyandsystematicliteraturereview AT rupavathanamahesparan complicationsandriskfactorsofendoscopicthirdventriculostomya10yearsinglecentrestudyandsystematicliteraturereview |