Advanced Techniques for Endoscopic Intracerebral Hemorrhage Evacuation: A Technical Report With Case Examples
| العنوان: | Advanced Techniques for Endoscopic Intracerebral Hemorrhage Evacuation: A Technical Report With Case Examples |
|---|---|
| المؤلفون: | Joshua B. Bederson, Rui Song, J Mocco, Adam C Lieber, Jacopo Scaggiante, Alexander G Chartrain, Danny Hom, Jonathan Pan, Robert J Rothrock, Christopher P. Kellner |
| المصدر: | Operative Neurosurgery |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Neuros/1, medicine.medical_specialty, Endoscope, AcademicSubjects/MED00930, Intracerebral hematoma, 030204 cardiovascular system & hematology, Single Center, 03 medical and health sciences, Minimally invasive clot evacuation, 0302 clinical medicine, Interquartile range, medicine, Humans, Minimally Invasive Surgical Procedures, Minimally invasive, Cerebral Hemorrhage, Intracerebral hemorrhage, medicine.diagnostic_test, Endoscopic ICH evacuation, business.industry, Endoscopy, medicine.disease, Surgery, Treatment Outcome, Endoscopic, Emergency evacuation, Collateral damage, Neurology (clinical), Hemorrhagic stroke, business, Concepts, Innovations and Techniques, 030217 neurology & neurosurgery, All cause mortality |
| الوصف: | BACKGROUND Multiple surgical techniques to perform minimally invasive intracerebral hemorrhage (ICH) evacuation are currently under investigation. The use of an adjunctive aspiration device permits controlled suction through an endoscope, minimizing collateral damage from the access tract. As with increased experience with any new procedure, performance of endoscopic minimally invasive ICH evacuation requires development of a unique set of operative tenets and techniques. OBJECTIVE To describe operative nuances of endoscopic minimally invasive ICH evacuation developed at a single center over an experience of 80 procedures. METHODS Endoscopic minimally invasive ICH evacuation was performed on 79 consecutive eligible patients who presented a single Health System between March 2016 and May 2018. We summarize 4 core operative tenets and 4 main techniques used in 80 procedures. RESULTS A total of 80 endoscopic minimally invasive ICH evacuations were performed utilizing the described surgical techniques. The average preoperative and postoperative volumes were 49.5 mL (standard deviation [SD] 31.1 mL, interquartile range [IQR] 30.2) and 5.4 mL (SD 9.6, mL IQR 5.1), respectively, with an average evacuation rate of 88.7%. All cause 30-d mortality was 8.9%. CONCLUSION As experience builds with endoscopic minimally invasive ICH evacuation, academic discussion of specific surgical techniques will be critical to maximizing its safety and efficacy. |
| تدمد: | 2332-4260 2332-4252 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ca670af551a23bd7ee77d2ac6ff794dc https://doi.org/10.1093/ons/opaa089 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....ca670af551a23bd7ee77d2ac6ff794dc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23324260 23324252 |
|---|