{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:34:55Z","timestamp":1747175695836,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004375","name":"Tel Aviv University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Endoscopic third ventriculostomy (ETV) is an effective treatment for obstructive hydrocephalus. Secondary stoma closure may be life threatening and is the most common reason for late ETV failure, mostly secondary to local scarring. Local stents intended to maintain patency are rarely used. In this study, we summarize our experience using stented ETV (sETV), efficacy, and safety.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material and methods<\/jats:title>\n                <jats:p>Data was retrospectively collected from all consecutive patients who underwent ETV with stenting at four centers. Collected data included indications for using sETV, hydrocephalic history, surgical technique, outcomes, and complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Sixty-seven cases were included. Forty had a primary sETV, and 27 had a secondary sETV (following a prior shunt, ETV, or both). The average age during surgery was 22\u00a0years. Main indications for sETV included an adjacent tumor (<jats:italic>n<\/jats:italic>\u2009=\u200915), thick or redundant tuber cinereum (<jats:italic>n<\/jats:italic>\u2009=\u200924), and prior ETV failure (<jats:italic>n<\/jats:italic>\u2009=\u200916). Fifty-nine patients (88%) had a successful sETV. Eight patients failed 11\u2009\u00b1\u20098\u00a0months following surgery. Reasons for failure included obstruction of the stent, reabsorption insufficiency, and CSF leak (<jats:italic>n<\/jats:italic>\u2009=\u20092 each), and massive hygroma and tumor spread (<jats:italic>n<\/jats:italic>\u2009=\u20091 each). Complications included subdural hygroma (<jats:italic>n<\/jats:italic>\u2009=\u20094), CSF leak (<jats:italic>n<\/jats:italic>\u2009=\u20092), and stent malposition (<jats:italic>n<\/jats:italic>\u2009=\u20091). There were no complications associated with two stent removals.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Stented ETV appears to be feasible and safe. It may be indicated in selected cases such as patients with prior ETV failure, or as a primary treatment in cases with anatomical alterations caused by tumors or thickened tuber cinereum. Future investigations are needed to further elucidate its role in non-communicating hydrocephalus.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00381-024-06566-7","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T09:02:26Z","timestamp":1722848546000},"page":"2995-3000","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Stented endoscopic third ventriculostomy: technique, safety, and indications\u2014a multicenter multinational study"],"prefix":"10.1007","volume":"40","author":[{"given":"Lee","family":"Azolai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Pennacchietti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Schulz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry W. 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Lane, SHA Akbari (2022) \u2018Failure of endoscopic third ventriculostomy\u2019 Cureushttps:\/\/doi.org\/10.7759\/cureus.25136","DOI":"10.7759\/cureus.25136"},{"issue":"5","key":"6566_CR4","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1227\/01.NEU.0000255420.78431.E7","volume":"60","author":"JM Drake","year":"2007","unstructured":"Drake JM (2007) Endoscopic third ventriculostomy in pediatric patients. Neurosurgery 60(5):881\u2013886. https:\/\/doi.org\/10.1227\/01.NEU.0000255420.78431.E7","journal-title":"Neurosurgery"},{"issue":"1","key":"6566_CR5","doi-asserted-by":"publisher","first-page":"211","DOI":"10.3171\/jns.2002.97.1.0211","volume":"97","author":"WJ Hader","year":"2002","unstructured":"Hader WJ, Drake J, Cochrane D, Sparrow O, Johnson ES, Kestle J (2002) Death after late failure of third ventriculostomy in children. 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