Stereotactic Multiplanar Reformatted Computed Tomography-Guided Catheter Placement and Thrombolysis of Spontaneous Intracerebral Hematomas

Hwang, Jae Ha; Han, Jeong-Yeol; Park, Kyung Bum; Park, In Sung; Jung, Jin‐Myung

doi:10.3340/jkns.2008.44.4.185

Cited by 5 publications

(8 citation statements)

References 20 publications

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“…During the treatment of IVH with surgery, to timely relieve intracranial pressure and mass effect of hematoma, the traditional craniotomy is often preferred. However, as a kind of emergency surgery for the treatment of IVH, the effect of traditional craniotomy is far from ideal (Hwang et al, 2008), such as surgery for long-term and additional brain damage, especially the damage to deep brain tissue and the high incidence of rebleeding and postoperative infection (Brouwers & Goldstein, 2012;Qureshi, Mendelow, & Hanley, 2009;Salazar et al, 1986).…”

Section: Discussionmentioning

confidence: 99%

The short‐ and long‐term efficacy analysis of stereotactic surgery combined external ventricular drainage in the treatment of the secondary intraventricular hemorrhage

Han

Tao

et al. 2017

Brain and Behavior

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ObjectiveTo evaluate the clinical value of minimally invasive stereotactic puncture therapy (MISPT) combined with external ventricular drainage (EVD) on secondary intraventricular hemorrhage (SIVH).MethodsA retrospective analysis of the patients of intraventricular hemorrhage from May 2013 to January 2015 was conducted in our hospital, according to the enrollment criterion; of which 40 patients were treated by MISPT combined with EVD (ME group) and 45 patients by conventional craniotomy combined with EVD (CE group). Related indicators were compared in the two groups of patients with short‐ and long‐term efficacy.ResultsThe patients in the ME group showed obvious amelioration in the GCS score compared with that of the CE group. There were no statistically significant differences in Graeb score and hematoma volume. Compared with the CE group, the incidence of postoperative complications was significantly decreased in the ME group. The mortalities of the ME and CE groups were 13.3% and 22.6%, respectively. The incidences of rebleeding in the ME and CE groups were 10.0% and 15.6%, respectively. For the four parameters representing long‐term efficacy of 6 months postoperation, the Glasgow Outcome Scale (GOS), Barthel Index (BI), modified Rankin Scale (mRS), and Karnofsky Scale (KPS) scores in the ME group were ameliorated more significantly than those of the CE group.ConclusionsOur data showed that the main advantages of ME in the treatment for SIVH were in minimal trauma, low incidence of complications, and the possibility to improve the long‐term prognosis significantly.

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Section: Discussionmentioning

confidence: 99%

The short‐ and long‐term efficacy analysis of stereotactic surgery combined external ventricular drainage in the treatment of the secondary intraventricular hemorrhage

Han

Tao

et al. 2017

Brain and Behavior

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“…For moderate deep ICH, several clinical studies reported minimally invasive clot evacuation through the use of stereotactics to alleviate ICH severity. 9,10,12,15,16,20,21 Additionally, in a multicentre randomized controlled trial, stereotactic treatment of ICH by means of a plasminogen activator (SICHPA) 8 was validated as a feasible therapeutic approach, with a favourable safety profile. Compared with the group offered nonsurgical treatment, SICHPA improved the efficacy of clot reductions.…”

Section: Discussionmentioning

confidence: 99%

“…Several groups [1][2][3][4][5][6][7][8][9][10]12,15,16 have studied the heavy burden of ICH that results from its mass effect (i.e. the physical attack) and the toxic influence of blood components and blood-degradation products (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Marquardt et al 15 reported haematoma removal using multiple target points in a single operation, in which he found that 88.8% of the haematoma could be removed in one procedure, but only in 53.4% of all cases could >90% of the clot be evacuated. Hwang et al 16 used stereotactic multiplanar reformatted computed tomography (CT)-guided catheter placement for ICH removal, and the median dwelling time of the catheter in the brain was 48.9 h (range 34-62 h) . Both of these modifications increased the speed of clot reduction.…”

Section: Introductionmentioning

confidence: 99%

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Benefits of a frame-based stereotactic surgical planning system for the treatment of spontaneous intracerebral haematomas

2013

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“…Due to the complex etiologies and rapid progression caused by IVH, high disabilities and mortalities are seen if not treated promptly. Studies have shown that 10–15% of all stroke patients have IVH,1 and the 30-day mortality rate after onset is as high as 35–50% 2. The main clinical symptoms of IVH are intracranial hypertension and meningeal irritation caused by abnormal cerebrospinal fluid circulation 3,4.…”

Section: Introductionmentioning

confidence: 99%

<p>External ventricular drainage combined with continuous lumbar drainage in the treatment of ventricular hemorrhage</p>

Xia¹,

Jiang²,

Li³

et al. 2019

TCRM

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Objective: Intraventricular hemorrhage (IVH) is characterized by acute onset, rapid progression, and high disability and mortality rates. In this study, we investigated the clinical effect of external ventricular drainage combined with continuous lumbar drainage in IVH treatments. Methods: 114 patients with IVH treated at the Department of Neurosurgery, First Affiliated Hospital of Wannan Medical College from January 2015 to December 2017, were included in the study. Based on the different surgical methods, patients were divided into control (n=79) and study groups (n=35). The control group was treated with external ventricular drainage, whereas the study group was treated with external ventricular drainage combined with continuous lumbar drainage. The incidence of intracranial infection and hydrocephalus was compared between the two groups. The Glasgow coma scale (GCS) and the Glasgow outcome scale (GOS) were compared between the two groups 7 days postoperatively and at follow-up visits, respectively. Results: The incidence of intracranial infection and hydrocephalus in the study group was significantly lower compared with those in the control group ( P <0.05). Seven days postoperatively, the GCS score of the study group was significantly higher than that of the control group ( P <0.05). At the 3-month follow-up visit, the GOS score of the study group was higher than that of the control group ( P <0.05). Conclusions: Using external ventricular drainage combined with continuous lumbar drainage can reduce the incidence of intracranial infection and hydrocephalus and improve the prognoses and quality of life in patients with IVH.

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Stereotactic Multiplanar Reformatted Computed Tomography-Guided Catheter Placement and Thrombolysis of Spontaneous Intracerebral Hematomas

Cited by 5 publications

References 20 publications

The short‐ and long‐term efficacy analysis of stereotactic surgery combined external ventricular drainage in the treatment of the secondary intraventricular hemorrhage

The short‐ and long‐term efficacy analysis of stereotactic surgery combined external ventricular drainage in the treatment of the secondary intraventricular hemorrhage

Benefits of a frame-based stereotactic surgical planning system for the treatment of spontaneous intracerebral haematomas

<p>External ventricular drainage combined with continuous lumbar drainage in the treatment of ventricular hemorrhage</p>

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