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2017 ; 60
(3
): 282-288
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Prevention of Complications in Endoscopic Third Ventriculostomy
#MMPMID28490153
Jung TY
; Chong S
; Kim IY
; Lee JY
; Phi JH
; Kim SK
; Kim JH
; Wang KC
J Korean Neurosurg Soc
2017[May]; 60
(3
): 282-288
PMID28490153
show ga
A variety of complications in endoscopic third ventriculostomy have been
reported, including neurovascular injury, hemodynamic alterations, endocrinologic
abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and
infection. Even though most complications are transient, the overall rate of
permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid
these serious complications, we should keep in mind potential complications and
how to prevent them. Proper decisions with regard to surgical indication, choice
of endoscopic entry and trajectory, careful endoscopic procedures with anatomic
orientation, bleeding control and tight closure are emphasized for the prevention
of complications.