Treatment of Supratentorial Spontaneous Intracerebral Hemorrhage Using Image-Guided Minimally Invasive Surgery: Initial Experiences of a Flat Detector CT–Based Puncture Planning and Navigation System in the Angiographic Suite

Abstract

BACKGROUND AND PURPOSE:The intracerebral hemorrhage drainage through minimally invasive approach is emerging as an alternative for traditional craniotomy, due to its improved survival rate and reduced complication rate. In this study, we investigated the feasibility and safety of a flat detector CT-based puncture planning and navigation system for minimally invasive hematoma drainage on patients with intracerebral hemorrhage.

Minimally Invasive Surgery for Intracerebral Hematoma Evacuation followed by Rosiglitazone Infusion Therapy Increased Perihematomal Occludin, Zonula Occludens-1 Expression and Decreased the Blood Brain Barrier Permeability in Rabbits

“…In recent years, the minimally invasive surgery has been emerging as an alternative for craniotomy due to its improved survival rate and reduced complication rate [32]. Several clinical and experimental studies have demonstrated minimally invasive techniques to be effective for the treatment of ICH [29,30,32].…”

“…In recent years, the minimally invasive surgery has been emerging as an alternative for craniotomy due to its improved survival rate and reduced complication rate [32]. Several clinical and experimental studies have demonstrated minimally invasive techniques to be effective for the treatment of ICH [29,30,32]. However, although MIS can alleviate the hematoma to a large extent by reducing its physical size and the release of neurotoxic substances, it cannot remove the erythrocytes and cytotoxic substances that extravasate into the brain adjacent to the hematoma.…”

Minimally invasive surgery for ICH evacuation followed by rosiglitazone infusion therapy increased perihematomal PPARγ expression and improved neurological outcomes in rabbits

“…6 ICH drainage through a minimally invasive approach is emerging as an alternative to traditional craniotomy due to its improved survival rate and reduced complication rate. 7 Minimally invasive surgery (MIS) for ICH evacuation has been demonstrated to be an effective and safe method in clinical and experimental studies. [8][9][10][11][12][13][14][15][16] However, although the MIS can effectively evacuate ICH and reduce secondary brain damage, it can only reduce the brain damage caused by the hematoma to some extent and does not completely eliminate it.…”

Curative effect of minimally invasive puncture and drainage assisted with alteplase on treatment of acute intracerebral hemorrhage

“…in clinic. As compared to the conventional craniotomy evacuation of hematoma, minimally invasive surgery causes lesser secondary damage to brain tissue and has a higher efficiency to remove the intracranial hematoma, and it also has a significant effect for reducing the intracranial pressure and brain edema [6,7]. Recent clinical researches have noticed that the minimally invasive puncture and drainage simultaneously along with the clot dissolution can achieve a significant effect to improve the evacuation of hematoma.…”