دورية أكاديمية

Endovascular balloon usage in endoscopic third ventriculostomy for hydrocephalus during a national shortage: case series and technical note.

التفاصيل البيبلوغرافية
العنوان: Endovascular balloon usage in endoscopic third ventriculostomy for hydrocephalus during a national shortage: case series and technical note.
المؤلفون: Feldman, Michael J., Boudreau, Hunter, Tuan Anh, Le, Tsemo, Georges Boubda, Blount, Jeffrey P., Rozzelle, Curtis J.
المصدر: Child's Nervous System; Jul2024, Vol. 40 Issue 7, p1983-1987, 5p
مصطلحات موضوعية: HYDROCEPHALUS, TRANSLUMINAL angioplasty, SCARCITY, PRICES, OPERATIVE surgery, CEREBROSPINAL fluid shunts, ENTEROSCOPY
مستخلص: Endoscopic third ventriculostomy (ETV) is a well-established surgical technique for treating hydrocephalus. Many providers have transitioned to utilizing the specialized Neuroballoon for the stoma dilation in ETV; however, these devices are intermittently unavailable during supply chain shortages. We present the experience of employing cardiac angioplasty and neurovascular balloons as substitutes for the Neuroballoon in 3 patients. The scepter balloon (Microvention), priced at $1800 compared to the standard $300 Neuroballoon (Integra), proved effective, but its pliability presented technical challenges. The substantial cost differential compared to a Neuroballoon ($300) raises economic considerations. The Cardiac TREK balloon (Abbott) was similarly effective, while also being easier to manage endoscopically and cheaper at $158. These experiences support the viability of non-neuroendoscopic specialized balloons as alternatives for ETV dilation of the floor of tuber cinereum. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:02567040
DOI:10.1007/s00381-024-06361-4