gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Complications of endoscopic aqueductoplasty and stenting

Komplikationen der endoskopischen Aquäduktoplastie

Meeting Abstract

Suche in Medline nach

  • corresponding author M. J. Fritsch - Klinik für Neurochirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel
  • H. M. Mehdorn - Klinik für Neurochirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc09.05.-16.05

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2005/05dgnc0080.shtml

Veröffentlicht: 4. Mai 2005

© 2005 Fritsch et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Endoscopic aqueductoplasty has been established as one option for the treatment of aqueductal stenosis and isolated 4th ventricle. We previously reported our surgical technique and results. We now summarize our experience in regard of complications and lessons learned.

Methods

We retrospectively analyzed treatment and outcome of 24 patients who underwent endoscopic aqueductoplasty without or with stent. Surgeries were performed between July 1996 and December 2003. Mean age at time of surgery was 8 years and 8 months (4 months – 36 years). Mean follow-up is 24 months (12 – 84 months).

Results

We had the following complications: 1 infection that required removal of the stent and subsequent re-stenting, 2 transient and 1 permanent oculomotor paresis, 1 asymptomatic posterior fossa hygroma, 2 patients with stent migration (complication rate 23%; 7 / 30 patients). Reclosure rate following aqueductoplasty without stenting was determined by the etiology of the aqueductal stenosis.

Conclusions

Endoscopic aqueductoplasty without or with stenting has a learning curve, as any other surgical procedure. Complications can be avoided or reduced by learning from previous experiences. Patients with isolated 4th ventricle are the best candidates for the procedure. Stent migration can be avoided by placing a stent that communicates lateral, 3rd and 4th ventricle and is secured by a subcutaneous burr hole reservoir. Reclosure rate following aqueductoplasty can be reduced by stent placement.