Minimally invasive surgiscopic evacuation of intracerebral hemorrhage.

Abstract:

:Intracerebral hemorrhage (ICH) is a devastating form of stroke associated with a 40% mortality rate at 30 days and a 75% functional dependence rate at 6 months. The role of surgery to treat ICH remains controversial. Preclinical studies suggest minimally invasive clot evacuation following ICH may benefit patients by mitigating primary and secondary brain injury.1 2 In this video, we report the operative technique used in minimally invasive surgicsopic evacuation following ICH (video 1). We demonstrate our presurgical approach using preoperative volumetric imaging loaded onto a stereotactic guidance system. Evacuation of intraparenchymal and intraventricular components of a hemorrhage are shown under direct surgiscopic vision using the Aurora System (Integra LifeSciences, Princeton, NJ, USA). Hemostasis is achieved when actively bleeding vessels are directly cauterized and irrigation of the clot cavity yields no fresh blood. Pre- and postevacuation radiographic differences illustrate the mitigation of clot burden in an elderly patient.neurintsurg;neurintsurg-2020-016553v1/V1F1V1Video 1.

journal_name

J Neurointerv Surg

authors

Troiani Z,Ascanio LC,Yaeger KA,Ali M,Kellner CP

doi

10.1136/neurintsurg-2020-016553

subject

Has Abstract

pub_date

2020-09-08 00:00:00

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2020-016553

pub_type

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