Artikel
Endoscopic Third Ventriculostomy (ETV) in infants under one year of age: A German multicenter study
Endoskopische Third Ventrikulostomie (ETV) bei Kindern im ersten Lebensjahr (Deutsche Multizenterstudie)
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Veröffentlicht: | 8. Mai 2006 |
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Objective: Controversy exists, if there is an indication for ETV in infants. The question remains if age or rather aetiology influences outcome.
Methods: In a multicenter retrospective analysis we evaluated the outcome of 78 infants (44 male, 34 female) who had undergone ETV. Follow-up was 48 months (12 – 89). Age at the time of surgery was 1-354 days (mean 119 d). Patients were evaluated regarding the influence of age and aetiology on the success or failure of the procedure.
Results: Patients with isolated idiopathic Aqueductal Stenosis (AS) had a success rate of 59% at 1 year follow-up. Patients with all other aetiologies (intraventricular haemorrhage, meningitis, MMC) did not demonstrate long lasting sufficiency of ETV. The success rate of ETV increased with age.
Conclusions: Aetiology and age seem to influence the long-term sufficiency of ETV in infants under one year of age. However, the only patient group that clearly benefits from the procedure are patients with isolated idiopathic AS.