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How Much Does ETV Surgery Cost?

Published in Neurosurgery Cost 3 mins read

The average cost for Endoscopic Third Ventriculostomy (ETV) surgery is approximately $94,797. However, for patients who experience no operative failure, the cost can be significantly lower, averaging around $35,602.

ETV is a neurosurgical procedure primarily used to treat hydrocephalus, a condition characterized by the abnormal accumulation of cerebrospinal fluid (CSF) in the brain. This buildup can cause increased pressure inside the skull, leading to various neurological symptoms. ETV offers an alternative to shunt placement for certain types of hydrocephalus, aiming to restore the natural flow of CSF within the brain. You can learn more about ETV from reputable sources like the Hydrocephalus Association.

Understanding the Cost of ETV Surgery

The cost of ETV surgery can vary based on several factors, including the complexity of the case, the surgical facility, and the patient's recovery trajectory. The figures provided reflect different outcomes and treatment approaches.

  • Overall Average Cost: This figure, \$94,797, represents the broader average cost associated with ETV treatments, encompassing various scenarios, including potential complications or extended care.
  • Cost for Successful Outcomes: When the surgery proceeds without operative failure, the cost dramatically decreases to an average of \$35,602. This highlights the financial benefit of a successful, uncomplicated procedure.

ETV Cost Comparison with Other Hydrocephalus Treatments

To put the cost of ETV into perspective, it's helpful to compare it with other common treatments for hydrocephalus, such as Endoscopic Third Ventriculostomy with Choroid Plexus Cauterization (ETV/CPC) and Ventriculoperitoneal Shunt (VPS) placement.

Treatment Type Overall Average Cost Cost for No Operative Failure Notes
Endoscopic Third Ventriculostomy (ETV) \$94,797 \$35,602 Generally less expensive with success
ETV with Choroid Plexus Cauterization \$126,394 \$63,261 Highest rate of operative failure
Ventriculoperitoneal Shunt (VPS) \$130,839 \$88,024 Traditional treatment option

As the table illustrates:

  • ETV stands out as the least expensive option when considering cases with no operative failure.
  • ETV/CPC treatments, while having a slightly lower cost for successful cases compared to VPS, show a higher overall average cost and are associated with the highest rate of operative failure among the three.
  • VPS remains a commonly performed procedure, with a higher average cost both overall and for cases without failure, largely due to the device implantation and potential for revision surgeries over time. Information on VPS can be found from institutions like Johns Hopkins Medicine.

These cost variations underscore the importance of discussing treatment options, potential outcomes, and associated expenses thoroughly with a neurosurgeon. The choice of procedure often depends on the specific type of hydrocephalus, the patient's age, overall health, and the surgeon's expertise.