Prevention of Complications in Endoscopic Third Ventriculostomy.
10.3340/jkns.2017.0101.014
- Author:
Tae Young JUNG
1
;
Sangjoon CHONG
;
In Young KIM
;
Ji Yeoun LEE
;
Ji Hoon PHI
;
Seung Ki KIM
;
Jae Hyoo KIM
;
Kyu Chang WANG
Author Information
1. Department of Neurosurgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, Korea.
- Publication Type:Review
- Keywords:
Neuroendoscopy;
Ventriculostomy;
Peoperative complications/prevention & control
- MeSH:
Cerebrospinal Fluid Leak;
Fever;
Hemodynamics;
Hemorrhage;
Mortality;
Neuroendoscopy;
Ventriculostomy*
- From:Journal of Korean Neurosurgical Society
2017;60(3):282-288
- CountryRepublic of Korea
- Language:English
-
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.