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Acta Neurochirurgica

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05-08-2022 | Hematoma | How I Do it - Vascular Neurosurgery - Other

Minimally invasive image-guided endoscopic evacuation of intracerebral haemorrhage: How I Do it

Authors: Tim Jonas Hallenberger, Raphael Guzman, Jehuda Soleman

Published in: Acta Neurochirurgica | Issue 6/2023

Abstract

Background

Minimally invasive endoscopic hematoma evacuation (MEHE) is an emerging surgical technique for treating spontaneous supratentorial intracerebral haemorrhage (SSICH). Multiple studies, analysing whether the outcome after such a procedure is improved, are still ongoing.

Method

We herein present the indications, advantages, and perioperative considerations for the surgical technique of MEHE applied at our institution.

Conclusion

MEHE with a view through a transparent brain access device is a valid and safe approach for the surgical evacuation of SSICH.

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Hanley DF, Thompson RE, Rosenblum M, Yenokyan G, Lane K, McBee N, Mayo SW, Bistran-Hall AJ, Gandhi D, Mould WA, Ullman N, Ali H, Carhuapoma JR, Kase CS, Lees KR, Dawson J, Wilson A, Betz JF, Sugar EA, Hao Y, Avadhani R, Caron JL, Harrigan MR, Carlson AP, Bulters D, LeDoux D, Huang J, Cobb C, Gupta G, Kitagawa R, Chicoine MR, Patel H, Dodd R, Camarata PJ, Wolfe S, Stadnik A, Money PL, Mitchell P, Sarabia R, Harnof S, Barzo P, Unterberg A, Teitelbaum JS, Wang W, Anderson CS, Mendelow AD, Gregson B, Janis S, Vespa P, Ziai W, Zuccarello M, Awad IA (2019) Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): a randomised, controlled, open-label, blinded endpoint phase 3 trial. Lancet 393:1021–1032. https://doi.org/10.1016/s0140-6736(19)30195-3CrossRefPubMedPubMedCentral

Hemphill JC 3rd, Greenberg SM, Anderson CS, Becker K, Bendok BR, Cushman M, Fung GL, Goldstein JN, Macdonald RL, Mitchell PH, Scott PA, Selim MH, Woo D (2015) Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 46:2032–2060. https://doi.org/10.1161/str.0000000000000069CrossRefPubMed

Kellner CP, Song R, Ali M, Nistal DA, Samarage M, Dangayach NS, Liang J, McNeill I, Zhang X, Bederson JB, Mocco J (2021) Time to evacuation and functional outcome after minimally invasive endoscopic intracerebral hemorrhage evacuation. Stroke 52:e536–e539. https://doi.org/10.1161/STROKEAHA.121.034392CrossRefPubMed

Mendelow AD, Gregson BA, Fernandes HM, Murray GD, Teasdale GM, Hope DT, Karimi A, Shaw MD, Barer DH (2005) Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial. Lancet 365:387–397. https://doi.org/10.1016/s0140-6736(05)17826-xCrossRefPubMed

Mendelow AD, Gregson BA, Rowan EN, Murray GD, Gholkar A, Mitchell PM (2013) Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial. Lancet 382:397–408. https://doi.org/10.1016/s0140-6736(13)60986-1CrossRefPubMedPubMedCentral

Morgenstern LB, Demchuk AM, Kim DH, Frankowski RF, Grotta JC (2001) Rebleeding leads to poor outcome in ultra-early craniotomy for intracerebral hemorrhage. Neurology 56:1294–1299. https://doi.org/10.1212/wnl.56.10.1294CrossRefPubMed

Scaggiante J, Zhang X, Mocco J, Kellner CP (2018) Minimally Invasive Surgery for Intracerebral Hemorrhage. Stroke 49:2612–2620. https://doi.org/10.1161/strokeaha.118.020688CrossRefPubMed

van Asch CJ, Luitse MJ, Rinkel GJ, van der Tweel I, Algra A, Klijn CJ (2010) Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis. Lancet Neurol 9:167–176. https://doi.org/10.1016/s1474-4422(09)70340-0CrossRefPubMed

Xi G, Keep RF, Hoff JT (2006) Mechanisms of brain injury after intracerebral haemorrhage. Lancet Neurol 5:53–63. https://doi.org/10.1016/s1474-4422(05)70283-0CrossRefPubMed

10.

Yao Z, Hu X, You C, He M (2018) Effect and feasibility of endoscopic surgery in spontaneous intracerebral hemorrhage: a systematic review and meta-analysis. World Neurosurg 113:348-356.e342. https://doi.org/10.1016/j.wneu.2018.02.022CrossRefPubMed

Title: Minimally invasive image-guided endoscopic evacuation of intracerebral haemorrhage: How I Do it
Authors: Tim Jonas Hallenberger
Raphael Guzman
Jehuda Soleman
Publication date: 05-08-2022
Publisher: Springer Vienna
Keywords: Hematoma
Minimally Invasive Surgery
Published in: Acta Neurochirurgica / Issue 6/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-022-05326-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Minimally invasive image-guided endoscopic evacuation of intracerebral haemorrhage: How I Do it

Abstract

Background

Method

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Conclusion

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