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Laser-assisted endoscopic third ventriculostomy: long-term results in a series of 202 patients. / van Beijnum, Janneke; Hanlo, Patrick W.; Fischer, Kathelijn et al.

In: Neurosurgery, Vol. 62, No. 2, 2008, p. 437-43; discussion 443-4.

Research output: Contribution to journalArticleAcademicpeer-review

Harvard

van Beijnum, J, Hanlo, PW, Fischer, K, Majidpour, MM, Kortekaas, MF, Verdaasdonk, RM & Vandertop, WP 2008, 'Laser-assisted endoscopic third ventriculostomy: long-term results in a series of 202 patients', Neurosurgery, vol. 62, no. 2, pp. 437-43; discussion 443-4. https://doi.org/10.1227/01.NEU.0000297058.27777.07

APA

van Beijnum, J., Hanlo, P. W., Fischer, K., Majidpour, M. M., Kortekaas, M. F., Verdaasdonk, R. M., & Vandertop, W. P. (2008). Laser-assisted endoscopic third ventriculostomy: long-term results in a series of 202 patients. Neurosurgery, 62(2), 437-43; discussion 443-4. https://doi.org/10.1227/01.NEU.0000297058.27777.07

Vancouver

van Beijnum J, Hanlo PW, Fischer K, Majidpour MM, Kortekaas MF, Verdaasdonk RM et al. Laser-assisted endoscopic third ventriculostomy: long-term results in a series of 202 patients. Neurosurgery. 2008;62(2):437-43; discussion 443-4. https://doi.org/10.1227/01.NEU.0000297058.27777.07

Author

van Beijnum, Janneke ; Hanlo, Patrick W. ; Fischer, Kathelijn et al. / Laser-assisted endoscopic third ventriculostomy: long-term results in a series of 202 patients. In: Neurosurgery. 2008 ; Vol. 62, No. 2. pp. 437-43; discussion 443-4.

BibTeX

@article{b2a2f858f1b44026aaf9f45f9b4337cf,
title = "Laser-assisted endoscopic third ventriculostomy: long-term results in a series of 202 patients",
abstract = "OBJECTIVE: Endoscopic third ventriculostomy is a well-known surgical option in the treatment of noncommunicating hydrocephalus. We studied complications and long-term success in 202 patients to demonstrate the safety and efficacy of laser-assisted endoscopic third ventriculostomy (LA-ETV) using a unique {"}black{"} fiber tip/diode laser combination for controlled tissue ablation. METHODS: We studied 213 LA-ETVs, which were performed in 202 patients. Patients' ages ranged from 2 days to 83 years (mean age, 27 yr). The mean follow-up period for all patients was 2.7 years (range, 2 d to 12 yr). Hydrocephalus was caused by aqueductal stenosis in 65 patients, tumors in 67 patients, hemorrhages in 24 patients, myelomeningoceles in 20 patients, cysts in 15 patients, and other causes in 11 patients. The long-term effectiveness of LA-ETV was studied with Kaplan-Meier analysis. RESULTS: Technically successful LA-ETVs were accomplished in 196 of the 202 patients (97%). The overall success rate for a functional LA-ETV was 68% at the 2-year follow-up evaluation. LA-ETV was more effective in patients aged 1 year and older (70% success rate) than in younger patients (59% success rate). Success rates were greater in patients with aqueductal stenosis or tumors as compared to other etiologies. Complications occurred in 22 procedures (10.3%). Only one patient (0.5%) experienced a major complication. No surgical mortalities or laser-related complications occurred. CONCLUSION: This study demonstrates that LA-ETV is a safe and effective procedure that is comparable to other techniques for ETV. LA-ETV is most effective in patients aged 1 year and older and in patients with aqueductal stenosis and tumors, with a low major complication rate",
author = "{van Beijnum}, Janneke and Hanlo, {Patrick W.} and Kathelijn Fischer and Majidpour, {Mohsen M.} and Kortekaas, {Marlous F.} and Verdaasdonk, {Rudolf M.} and Vandertop, {W. Peter}",
year = "2008",
doi = "10.1227/01.NEU.0000297058.27777.07",
language = "English",
volume = "62",
pages = "437--43; discussion 443--4",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

RIS

TY - JOUR

T1 - Laser-assisted endoscopic third ventriculostomy: long-term results in a series of 202 patients

AU - van Beijnum, Janneke

AU - Hanlo, Patrick W.

AU - Fischer, Kathelijn

AU - Majidpour, Mohsen M.

AU - Kortekaas, Marlous F.

AU - Verdaasdonk, Rudolf M.

AU - Vandertop, W. Peter

PY - 2008

Y1 - 2008

N2 - OBJECTIVE: Endoscopic third ventriculostomy is a well-known surgical option in the treatment of noncommunicating hydrocephalus. We studied complications and long-term success in 202 patients to demonstrate the safety and efficacy of laser-assisted endoscopic third ventriculostomy (LA-ETV) using a unique "black" fiber tip/diode laser combination for controlled tissue ablation. METHODS: We studied 213 LA-ETVs, which were performed in 202 patients. Patients' ages ranged from 2 days to 83 years (mean age, 27 yr). The mean follow-up period for all patients was 2.7 years (range, 2 d to 12 yr). Hydrocephalus was caused by aqueductal stenosis in 65 patients, tumors in 67 patients, hemorrhages in 24 patients, myelomeningoceles in 20 patients, cysts in 15 patients, and other causes in 11 patients. The long-term effectiveness of LA-ETV was studied with Kaplan-Meier analysis. RESULTS: Technically successful LA-ETVs were accomplished in 196 of the 202 patients (97%). The overall success rate for a functional LA-ETV was 68% at the 2-year follow-up evaluation. LA-ETV was more effective in patients aged 1 year and older (70% success rate) than in younger patients (59% success rate). Success rates were greater in patients with aqueductal stenosis or tumors as compared to other etiologies. Complications occurred in 22 procedures (10.3%). Only one patient (0.5%) experienced a major complication. No surgical mortalities or laser-related complications occurred. CONCLUSION: This study demonstrates that LA-ETV is a safe and effective procedure that is comparable to other techniques for ETV. LA-ETV is most effective in patients aged 1 year and older and in patients with aqueductal stenosis and tumors, with a low major complication rate

AB - OBJECTIVE: Endoscopic third ventriculostomy is a well-known surgical option in the treatment of noncommunicating hydrocephalus. We studied complications and long-term success in 202 patients to demonstrate the safety and efficacy of laser-assisted endoscopic third ventriculostomy (LA-ETV) using a unique "black" fiber tip/diode laser combination for controlled tissue ablation. METHODS: We studied 213 LA-ETVs, which were performed in 202 patients. Patients' ages ranged from 2 days to 83 years (mean age, 27 yr). The mean follow-up period for all patients was 2.7 years (range, 2 d to 12 yr). Hydrocephalus was caused by aqueductal stenosis in 65 patients, tumors in 67 patients, hemorrhages in 24 patients, myelomeningoceles in 20 patients, cysts in 15 patients, and other causes in 11 patients. The long-term effectiveness of LA-ETV was studied with Kaplan-Meier analysis. RESULTS: Technically successful LA-ETVs were accomplished in 196 of the 202 patients (97%). The overall success rate for a functional LA-ETV was 68% at the 2-year follow-up evaluation. LA-ETV was more effective in patients aged 1 year and older (70% success rate) than in younger patients (59% success rate). Success rates were greater in patients with aqueductal stenosis or tumors as compared to other etiologies. Complications occurred in 22 procedures (10.3%). Only one patient (0.5%) experienced a major complication. No surgical mortalities or laser-related complications occurred. CONCLUSION: This study demonstrates that LA-ETV is a safe and effective procedure that is comparable to other techniques for ETV. LA-ETV is most effective in patients aged 1 year and older and in patients with aqueductal stenosis and tumors, with a low major complication rate

U2 - 10.1227/01.NEU.0000297058.27777.07

DO - 10.1227/01.NEU.0000297058.27777.07

M3 - Article

C2 - 18382322

VL - 62

SP - 437-43; discussion 443-4

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 2

ER -

ID: 535941