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.
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: firstname.lastname@example.org.
Please include this information when citing this paper: published online December 21, 2012; DOI: 10.3171/2012.10.PEDS11159.
Sainte-RoseCCinalliGRouxFEMaixnerRChumasPDMansourM: Management of hydrocephalus in pediatric patients with posterior fossa tumors: the role of endoscopic third ventriculostomy. J Neurosurg95:791–7972001
Sainte-RoseC, CinalliG, RouxFE, MaixnerR, ChumasPD, MansourM, : Management of hydrocephalus in pediatric patients with posterior fossa tumors: the role of endoscopic third ventriculostomy. 95:791–797, 2001)| false