Endoscopic Third Ventriculostomy Success Score (ETVSS) predicting success in a series of 50 pediatric patients. Are the outcomes of our patients predictable?
Purpose In our series of endoscopic third ventriculostomy (ETV), we sought to establish the relationship between the preoperative prediction using the Endoscopic Third Ventriculostomy Success Score (ETVSS) and the postsurgical success rate. Materials and methods This descriptive analytical study com...
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| Veröffentlicht in: | Child's nervous system 2012-08, Vol.28 (8), p.1157-1162 |
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| creator | García, Laura González López, Bienvenido Ros Botella, Guillermo Ibáñez Páez, Miguel Domínguez da Rosa, Sandra Pérez Rius, Francisca Sánchez, Miguel Ángel Arráez |
| description | Purpose
In our series of endoscopic third ventriculostomy (ETV), we sought to establish the relationship between the preoperative prediction using the Endoscopic Third Ventriculostomy Success Score (ETVSS) and the postsurgical success rate.
Materials and methods
This descriptive analytical study comprised 50 pediatric patients who underwent 58 ETV procedures between 2003 and 2011. Data regarding clinical, surgical, and radiological findings were obtained from a continuously updated database. For each patient, we calculated the ETVSS, based on the patient’s age, hydrocephalus etiology, and presence of a previous shunt. We considered success to be an established or improved clinical state and at least one of the following radiological criteria: (a) reduction in ventricular size or stable ventricles with disappearance of periventricular edema and increased subarachnoid space over cerebral convexities, (b) flow artifact in sagittal T2FSE MR, or (c) bidirectional flow signal in 2D-CPC MR. Statistical significance was set at
p
|
| doi_str_mv | 10.1007/s00381-012-1836-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1027832814</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1027832814</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-28b2c5d03eff95da5219b15c6e871d0a7bfd977252b6a52f8835283bb4e09b7c3</originalsourceid><addsrcrecordid>eNp9kcFu1DAQQC1ERZeFD-CCfGwPacd2HDsnVFVbQKrEYZdeLcdxWldJHDzJoR_Dv-JVtj1y8mHePMnzCPnC4IoBqGsEEJoVwHjBtKgK8Y5sWClEAULCe7IBLqtCQQnn5CPiMwCTmtcfyDnnCqpalxvydze2EV2cgqOHp5Ba-uDHOQW39BHnOLzQ_eKcR6R7F5OnF7vDw35_Safk2-DmMD5SPAFhpJaiT8EjjR2VQKfM2KOMTnYO2YtX9CZL5idP4zK7OKxoXNIb8Wq2Te-_fSJnne3Rfz69W_L7bne4_VHc__r-8_bmvnCiLOeC64Y72YLwXVfL1krO6oZJV3mtWAtWNV1bK8Ulb6o87LQWkmvRNKWHulFObMnF6p1S_LN4nM0Q0Pm-t6OPCxoGXGnBdT7ulrAVdSkiJt-ZKYXBppcMmWMVs1YxuYo5VjEi73w96Zdm8O3bxmuGDPAVwDwaH30yz_kmY_7yf6z_AKKkmV8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1027832814</pqid></control><display><type>article</type><title>Endoscopic Third Ventriculostomy Success Score (ETVSS) predicting success in a series of 50 pediatric patients. Are the outcomes of our patients predictable?</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>García, Laura González ; López, Bienvenido Ros ; Botella, Guillermo Ibáñez ; Páez, Miguel Domínguez ; da Rosa, Sandra Pérez ; Rius, Francisca ; Sánchez, Miguel Ángel Arráez</creator><creatorcontrib>García, Laura González ; López, Bienvenido Ros ; Botella, Guillermo Ibáñez ; Páez, Miguel Domínguez ; da Rosa, Sandra Pérez ; Rius, Francisca ; Sánchez, Miguel Ángel Arráez</creatorcontrib><description>Purpose
In our series of endoscopic third ventriculostomy (ETV), we sought to establish the relationship between the preoperative prediction using the Endoscopic Third Ventriculostomy Success Score (ETVSS) and the postsurgical success rate.
Materials and methods
This descriptive analytical study comprised 50 pediatric patients who underwent 58 ETV procedures between 2003 and 2011. Data regarding clinical, surgical, and radiological findings were obtained from a continuously updated database. For each patient, we calculated the ETVSS, based on the patient’s age, hydrocephalus etiology, and presence of a previous shunt. We considered success to be an established or improved clinical state and at least one of the following radiological criteria: (a) reduction in ventricular size or stable ventricles with disappearance of periventricular edema and increased subarachnoid space over cerebral convexities, (b) flow artifact in sagittal T2FSE MR, or (c) bidirectional flow signal in 2D-CPC MR. Statistical significance was set at
p
< 0.05. Six months was the minimum postoperative follow-up required.
Results
The ETV was successful in 29 patients (58 %). Patients aged over 1 year achieved the best results (
p
< 0.019). For those who underwent successful ETV, the mean ETVSS was 71.03 (95 % CI, 66.23–75.84). In those for whom the ETV was not successful, the mean ETVSS was 60 (95 % CI, 53.09–66.90); (
p
< 0.007).
Conclusions
The success of ETV in our series could have been predicted by ETVSS. Predictability could help establish stricter surgical selection criteria, thereby obtaining higher success rates, as well as preparing the patients and their families for expected outcomes.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-012-1836-3</identifier><identifier>PMID: 22706984</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Child ; Child, Preschool ; Female ; Humans ; Hydrocephalus - surgery ; Infant ; Infant, Newborn ; Male ; Medicine ; Medicine & Public Health ; Neuroendoscopy ; Neurosciences ; Neurosurgery ; Original Paper ; Third Ventricle - surgery ; Treatment Outcome ; Ventriculostomy</subject><ispartof>Child's nervous system, 2012-08, Vol.28 (8), p.1157-1162</ispartof><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-28b2c5d03eff95da5219b15c6e871d0a7bfd977252b6a52f8835283bb4e09b7c3</citedby><cites>FETCH-LOGICAL-c344t-28b2c5d03eff95da5219b15c6e871d0a7bfd977252b6a52f8835283bb4e09b7c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-012-1836-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-012-1836-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22706984$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>García, Laura González</creatorcontrib><creatorcontrib>López, Bienvenido Ros</creatorcontrib><creatorcontrib>Botella, Guillermo Ibáñez</creatorcontrib><creatorcontrib>Páez, Miguel Domínguez</creatorcontrib><creatorcontrib>da Rosa, Sandra Pérez</creatorcontrib><creatorcontrib>Rius, Francisca</creatorcontrib><creatorcontrib>Sánchez, Miguel Ángel Arráez</creatorcontrib><title>Endoscopic Third Ventriculostomy Success Score (ETVSS) predicting success in a series of 50 pediatric patients. Are the outcomes of our patients predictable?</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Purpose
In our series of endoscopic third ventriculostomy (ETV), we sought to establish the relationship between the preoperative prediction using the Endoscopic Third Ventriculostomy Success Score (ETVSS) and the postsurgical success rate.
Materials and methods
This descriptive analytical study comprised 50 pediatric patients who underwent 58 ETV procedures between 2003 and 2011. Data regarding clinical, surgical, and radiological findings were obtained from a continuously updated database. For each patient, we calculated the ETVSS, based on the patient’s age, hydrocephalus etiology, and presence of a previous shunt. We considered success to be an established or improved clinical state and at least one of the following radiological criteria: (a) reduction in ventricular size or stable ventricles with disappearance of periventricular edema and increased subarachnoid space over cerebral convexities, (b) flow artifact in sagittal T2FSE MR, or (c) bidirectional flow signal in 2D-CPC MR. Statistical significance was set at
p
< 0.05. Six months was the minimum postoperative follow-up required.
Results
The ETV was successful in 29 patients (58 %). Patients aged over 1 year achieved the best results (
p
< 0.019). For those who underwent successful ETV, the mean ETVSS was 71.03 (95 % CI, 66.23–75.84). In those for whom the ETV was not successful, the mean ETVSS was 60 (95 % CI, 53.09–66.90); (
p
< 0.007).
Conclusions
The success of ETV in our series could have been predicted by ETVSS. Predictability could help establish stricter surgical selection criteria, thereby obtaining higher success rates, as well as preparing the patients and their families for expected outcomes.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrocephalus - surgery</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroendoscopy</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Original Paper</subject><subject>Third Ventricle - surgery</subject><subject>Treatment Outcome</subject><subject>Ventriculostomy</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQQC1ERZeFD-CCfGwPacd2HDsnVFVbQKrEYZdeLcdxWldJHDzJoR_Dv-JVtj1y8mHePMnzCPnC4IoBqGsEEJoVwHjBtKgK8Y5sWClEAULCe7IBLqtCQQnn5CPiMwCTmtcfyDnnCqpalxvydze2EV2cgqOHp5Ba-uDHOQW39BHnOLzQ_eKcR6R7F5OnF7vDw35_Safk2-DmMD5SPAFhpJaiT8EjjR2VQKfM2KOMTnYO2YtX9CZL5idP4zK7OKxoXNIb8Wq2Te-_fSJnne3Rfz69W_L7bne4_VHc__r-8_bmvnCiLOeC64Y72YLwXVfL1krO6oZJV3mtWAtWNV1bK8Ulb6o87LQWkmvRNKWHulFObMnF6p1S_LN4nM0Q0Pm-t6OPCxoGXGnBdT7ulrAVdSkiJt-ZKYXBppcMmWMVs1YxuYo5VjEi73w96Zdm8O3bxmuGDPAVwDwaH30yz_kmY_7yf6z_AKKkmV8</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>García, Laura González</creator><creator>López, Bienvenido Ros</creator><creator>Botella, Guillermo Ibáñez</creator><creator>Páez, Miguel Domínguez</creator><creator>da Rosa, Sandra Pérez</creator><creator>Rius, Francisca</creator><creator>Sánchez, Miguel Ángel Arráez</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>Endoscopic Third Ventriculostomy Success Score (ETVSS) predicting success in a series of 50 pediatric patients. Are the outcomes of our patients predictable?</title><author>García, Laura González ; López, Bienvenido Ros ; Botella, Guillermo Ibáñez ; Páez, Miguel Domínguez ; da Rosa, Sandra Pérez ; Rius, Francisca ; Sánchez, Miguel Ángel Arráez</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-28b2c5d03eff95da5219b15c6e871d0a7bfd977252b6a52f8835283bb4e09b7c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrocephalus - surgery</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroendoscopy</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original Paper</topic><topic>Third Ventricle - surgery</topic><topic>Treatment Outcome</topic><topic>Ventriculostomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>García, Laura González</creatorcontrib><creatorcontrib>López, Bienvenido Ros</creatorcontrib><creatorcontrib>Botella, Guillermo Ibáñez</creatorcontrib><creatorcontrib>Páez, Miguel Domínguez</creatorcontrib><creatorcontrib>da Rosa, Sandra Pérez</creatorcontrib><creatorcontrib>Rius, Francisca</creatorcontrib><creatorcontrib>Sánchez, Miguel Ángel Arráez</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>García, Laura González</au><au>López, Bienvenido Ros</au><au>Botella, Guillermo Ibáñez</au><au>Páez, Miguel Domínguez</au><au>da Rosa, Sandra Pérez</au><au>Rius, Francisca</au><au>Sánchez, Miguel Ángel Arráez</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic Third Ventriculostomy Success Score (ETVSS) predicting success in a series of 50 pediatric patients. Are the outcomes of our patients predictable?</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>28</volume><issue>8</issue><spage>1157</spage><epage>1162</epage><pages>1157-1162</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Purpose
In our series of endoscopic third ventriculostomy (ETV), we sought to establish the relationship between the preoperative prediction using the Endoscopic Third Ventriculostomy Success Score (ETVSS) and the postsurgical success rate.
Materials and methods
This descriptive analytical study comprised 50 pediatric patients who underwent 58 ETV procedures between 2003 and 2011. Data regarding clinical, surgical, and radiological findings were obtained from a continuously updated database. For each patient, we calculated the ETVSS, based on the patient’s age, hydrocephalus etiology, and presence of a previous shunt. We considered success to be an established or improved clinical state and at least one of the following radiological criteria: (a) reduction in ventricular size or stable ventricles with disappearance of periventricular edema and increased subarachnoid space over cerebral convexities, (b) flow artifact in sagittal T2FSE MR, or (c) bidirectional flow signal in 2D-CPC MR. Statistical significance was set at
p
< 0.05. Six months was the minimum postoperative follow-up required.
Results
The ETV was successful in 29 patients (58 %). Patients aged over 1 year achieved the best results (
p
< 0.019). For those who underwent successful ETV, the mean ETVSS was 71.03 (95 % CI, 66.23–75.84). In those for whom the ETV was not successful, the mean ETVSS was 60 (95 % CI, 53.09–66.90); (
p
< 0.007).
Conclusions
The success of ETV in our series could have been predicted by ETVSS. Predictability could help establish stricter surgical selection criteria, thereby obtaining higher success rates, as well as preparing the patients and their families for expected outcomes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22706984</pmid><doi>10.1007/s00381-012-1836-3</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adolescent Child Child, Preschool Female Humans Hydrocephalus - surgery Infant Infant, Newborn Male Medicine Medicine & Public Health Neuroendoscopy Neurosciences Neurosurgery Original Paper Third Ventricle - surgery Treatment Outcome Ventriculostomy |
| title | Endoscopic Third Ventriculostomy Success Score (ETVSS) predicting success in a series of 50 pediatric patients. Are the outcomes of our patients predictable? |
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