Use of the NeuroBalloon catheter for endoscopic third ventriculostomy

Technical note

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  • 1 Division of Pediatric Neurosurgery, Lucile Packard Children's Hospital, Stanford University School of Medicine, Stanford, California;
  • 2 Division of Pediatric Neurosurgery, Hôpital Necker, Université Paris V. René Descartes, Paris, France; and
  • 3 Division of Pediatric Neurosurgery, University Children's Hospital, Basel, Switzerland
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Endoscopic third ventriculostomy (ETV) has become the procedure of choice for treatment of obstructive hydrocephalus. While patient selection is the most critical factor in determining the success of an ETV procedure, the technical challenge lies in the proper site of fenestration and the successful creation of a patent stoma. Positioning of a single balloon catheter at the level or below the floor of the third ventricle to achieve an optimal ventriculostomy can at times be challenging. Here, the authors describe the use of a double-barrel balloon catheter (NeuroBalloon catheter), which facilitates positioning across, as well as dilation of, the floor of the third ventricle. The surgical technique and nuances of using the NeuroBalloon catheter and the experience in more than 1000 cases are described. The occurrence of vascular injury was less than 0.1%, and the risk of balloon rupture was less than 2%. The authors found that the placement and deployment of this balloon catheter facilitate the creation of an adequate ventriculostomy in a few simple steps.

Abbreviation used in this paper:ETV = endoscopic third ventriculostomy.

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Contributor Notes

Address correspondence to: Raphael Guzman, M.D., Division of Pediatric Neurosurgery, Lucile Packard Children's Hospital, Stanford University School of Medicine, 300 Pasteur Drive, R211, Stanford, California 94305-5327. email: raphaelg@stanford.edu.

Please include this information when citing this paper: published online December 21, 2012; DOI: 10.3171/2012.10.PEDS11159.

  • 1

    Aydin S, , Yilmazlar S, , Aker S, & Korfali E: Anatomy of the floor of the third ventricle in relation to endoscopic ventriculostomy. Clin Anat 22:916924, 2009

    • Search Google Scholar
    • Export Citation
  • 2

    Bhatia R, , Tahir M, & Chandler CL: The management of hydrocephalus in children with posterior fossa tumours: the role of pre-resectional endoscopic third ventriculostomy. Pediatr Neurosurg 45:186191, 2009

    • Search Google Scholar
    • Export Citation
  • 3

    Cinalli G, , Sainte-Rose C, , Chumas P, , Zerah M, , Brunelle F, & Lot G, : Failure of third ventriculostomy in the treatment of aqueductal stenosis in children. J Neurosurg 90:448454, 1999

    • Search Google Scholar
    • Export Citation
  • 4

    Cinalli G, , Spennato P, , Ruggiero C, , Aliberti F, , Trischitta V, & Buonocore MC, : Complications following endoscopic intracranial procedures in children. Childs Nerv Syst 23:633644, 2007

    • Search Google Scholar
    • Export Citation
  • 5

    Di Rocco C, , Cinalli G, , Massimi L, , Spennato P, , Cianciulli E, & Tamburrini G: Endoscopic third ventriculostomy in the treatment of hydrocephalus in pediatric patients. Adv Tech Stand Neurosurg 31:119219, 2006

    • Search Google Scholar
    • Export Citation
  • 6

    Drake JM, , Kulkarni AV, & Kestle J: Endoscopic third ventriculostomy versus ventriculoperitoneal shunt in pediatric patients: a decision analysis. Childs Nerv Syst 25:467472, 2009

    • Search Google Scholar
    • Export Citation
  • 7

    Fritsch MJ, , Bauer M, , Partsch CJ, , Sippell WG, & Mehdorn HM: Endocrine evaluation after endoscopic third ventriculostomy (ETV) in children. Childs Nerv Syst 23:627631, 2007

    • Search Google Scholar
    • Export Citation
  • 8

    Gangemi M, , Mascari C, , Maiuri F, , Godano U, , Donati P, & Longatti PL: Long-term outcome of endoscopic third ventriculostomy in obstructive hydrocephalus. Minim Invasive Neurosurg 50:265269, 2007

    • Search Google Scholar
    • Export Citation
  • 9

    Ganjoo P, , Sethi S, , Tandon MS, , Chawla R, & Singh D: Incidence and pattern of intraoperative hemodynamic response to endoscopic third ventriculostomy. Neurol India 57:162165, 2009

    • Search Google Scholar
    • Export Citation
  • 10

    Hayashi N, , Endo S, , Hamada H, , Shibata T, , Fukuda O, & Takaku A: Role of preoperative midsagittal magnetic resonance imaging in endoscopic third ventriculostomy. Minim Invasive Neurosurg 42:7982, 1999

    • Search Google Scholar
    • Export Citation
  • 11

    Jallo GI, , Kothbauer KF, & Abbott IR: Endoscopic third ventriculostomy. Neurosurg Focus 19:6 E11, 2005

  • 12

    Kombogiorgas D, & Sgouros S: Assessment of the influence of operative factors in the success of endoscopic third ventriculostomy in children. Childs Nerv Syst 22:12561262, 2006

    • Search Google Scholar
    • Export Citation
  • 13

    Kulkarni AV, , Drake JM, , Mallucci CL, , Sgouros S, , Roth J, & Constantini S: Endoscopic third ventriculostomy in the treatment of childhood hydrocephalus. J Pediatr 155:254259, 2009

    • Search Google Scholar
    • Export Citation
  • 14

    Li KW, , Roonprapunt C, , Lawson HC, , Abbott IR, , Wisoff J, & Epstein F, : Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas. Neurosurg Focus 18:6a E2, 2005

    • Search Google Scholar
    • Export Citation
  • 15

    Navarro R, , Gil-Parra R, , Reitman AJ, , Olavarria G, , Grant JA, & Tomita T: Endoscopic third ventriculostomy in children: early and late complications and their avoidance. Childs Nerv Syst 22:506513, 2006

    • Search Google Scholar
    • Export Citation
  • 16

    Oertel JM, , Baldauf J, , Schroeder HW, & Gaab MR: Endoscopic options in children: experience with 134 procedures. Clinical article. J Neurosurg Pediatr 3:8189, 2009

    • Search Google Scholar
    • Export Citation
  • 17

    Roopesh Kumar SV, , Mohanty A, , Santosh V, , Satish S, , Devi BI, & Praharaj SS, : Endoscopic options in management of posterior third ventricular tumors. Childs Nerv Syst 23:11351145, 2007

    • Search Google Scholar
    • Export Citation
  • 18

    Sacko O, , Boetto S, , Lauwers-Cances V, , Dupuy M, & Roux FE: Endoscopic third ventriculostomy: outcome analysis in 368 procedures. Clinical article. J Neurosurg Pediatr 5:6874, 2010

    • Search Google Scholar
    • Export Citation
  • 19

    Sainte-Rose C, , Cinalli G, , Roux FE, , Maixner R, , Chumas PD, & Mansour M, : Management of hydrocephalus in pediatric patients with posterior fossa tumors: the role of endoscopic third ventriculostomy. J Neurosurg 95:791797, 2001

    • Search Google Scholar
    • Export Citation
  • 20

    Schroeder HW, , Niendorf WR, & Gaab MR: Complications of endoscopic third ventriculostomy. J Neurosurg 96:10321040, 2002

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