Endoscopic aqueductoplasty and stenting

Michael J Fritsch; Henry W S Schroeder

doi:10.1016/j.wneu.2012.02.013

Endoscopic aqueductoplasty and stenting

World Neurosurg. 2013 Feb;79(2 Suppl):S20.e15-8. doi: 10.1016/j.wneu.2012.02.013. Epub 2012 Feb 10.

Authors

Michael J Fritsch¹, Henry W S Schroeder

Affiliation

¹ Department of Neurosurgery, Ernst Moritz Arndt Universität Greifswald, Greifswald, Germany. fritschm@dbknb.de

PMID: 22381819
DOI: 10.1016/j.wneu.2012.02.013

Abstract

Objective: This paper discusses indications for and the technique of endoscopic aqueductoplasty with stenting.

Methods: We review and summarize the clinical experience with endoscopic aqueductoplasty gained over the last 15 years on pediatric and adult patients.

Results: Endoscopic aqueductoplasty with stenting presents a safe procedure. In well selected patients, it provides a long-term, stable clinical course. Aqueductoplasty alone has a high reclosure rate and should be avoided.

Conclusions: Aqueductoplasty with stenting is the procedure of choice for the treatment of isolated fourth ventricle. Membranous and tumor-related aqueductal stenosis should be treated by endoscopic third ventriculostomy.

MeSH terms

Adult
Brain Neoplasms / complications
Brain Neoplasms / surgery
Cerebral Aqueduct / pathology
Cerebral Aqueduct / surgery*
Child
Constriction, Pathologic
Endoscopy / methods*
Fourth Ventricle / abnormalities
Fourth Ventricle / surgery
Humans
Magnetic Resonance Imaging
Neurosurgical Procedures / methods*
Preoperative Care
Reoperation
Stents*
Ventriculostomy