Professional Documents
Culture Documents
Dr Vishal Gajbhiye
Dr Yadav YR
Procedure
Endoscopic third ventriculostomy
Skin incision
MRI Scan is
Preferred
Endoscopic third ventriculostomy
Steps of surgery
Burr
Hole
site
Endoscopic third ventriculostomy
Identification
of
foramen of
Monro
Endoscopic third ventriculostomy
No significant
movement
Endoscopic third ventriculostomy
Third Ventricle
Mammllary Bodies
Infundibular recess
Interpeduncular cistern
Endoscopic third ventriculostomy
Translucent Area
Mammllary Bodies
Endoscopic third ventriculostomy
Infundibular recess
ETV Hole
Mammllary bodies
Endoscopic third ventriculostomy
Basilar Artery
Posterior Cerebral
Artery
Endoscopic third ventriculostomy
13 (15%)
Successful
ETV
Failed ETV
74 (85%)
Endoscopic third ventriculostomy in
various age group
90
80 <1yr
70 1-4yr
No. of patients
60 5-9yr
50 10-14yr
40 15-24
30 25-34yr
20 35-44yr
10 55-64yr
0 65+yr
Age group
Endoscopic third ventriculostomy in
infants
7 (8%)
Full term
80 (92%) normal birth
weight
Endoscopic third ventriculostomy in
infants
Fishers exact test, P =0.03).
60%
50%
Failure rate ETV
100
90 <1yr
80 1-4yr
Success rate
70 5-9yr
60
10-14yr
50
15-24yr
40
25-34yr
30
20 45-54yr
10 55-64yr
0 65+yr
Age group
ETV Success rate in relation to
pathology
100
90
80
70
60
50 Faliure
40 Success
30
20
10
0
tumor Stenosis TBM IVH Menin.
Complications in ETV
10
10
9 8 Infection
8
7 6 CSF leak
Percentage
6 5
14 4
5 18 Minor Bleed
4 11
3 9 Stoma block
7
2
1 Complex
0 hydrocephalus
Complications
Incidence of ETV & VP Shunt
failure in relation to time
100
Percentage
80
60
40 ETV
20 VP Shunt
0 ETV
0 month 2yrs
8
7
6
No of patients
5 Successful Re
4 8 ETV
3 Failed Re ETV
11.2%
2
1
1
0
Results Re ETV
Our Policy after Failed ETV
• Blocked stoma after ETV.. Re ETV
• Patent stoma after ETV.. LP shunt
Endoscopic third ventriculostomy in infants