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Minimally Invasive Surgery for Intracerebral and Intraventricular Hemorrhage

Overview
Journal Front Neurol
Specialty Neurology
Date 2022 Mar 11
PMID 35273553
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Abstract

Spontaneous intracerebral hemorrhage (ICH), especially related to intraventricular hemorrhage (IVH), is the most devastating type of stroke and is associated with high mortality and morbidity. Optimal management of ICH remains one of the most controversial areas of neurosurgery and no effective treatment exists for ICH. Studies comparing conventional surgical interventions with optimal medical management failed to show significant benefit. Recent exploration of minimally invasive surgery for ICH and IVH including catheter- and mechanical-based approaches has shown great promise. Early phase clinical trials have confirmed the safety and preliminary treatment effect of minimally invasive surgery for ICH and IVH. Pending efficacy data from phase III trials dealing with diverse minimally invasive techniques are likely to shape the treatment of ICH.

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References
1.
Hanley D, Lane K, McBee N, Ziai W, Tuhrim S, Lees K . Thrombolytic removal of intraventricular haemorrhage in treatment of severe stroke: results of the randomised, multicentre, multiregion, placebo-controlled CLEAR III trial. Lancet. 2017; 389(10069):603-611. PMC: 6108339. DOI: 10.1016/S0140-6736(16)32410-2. View

2.
Flibotte J, Hagan N, ODonnell J, Greenberg S, Rosand J . Warfarin, hematoma expansion, and outcome of intracerebral hemorrhage. Neurology. 2004; 63(6):1059-64. DOI: 10.1212/01.wnl.0000138428.40673.83. View

3.
Fiorella D, Arthur A, Bain M, Mocco J . Minimally Invasive Surgery for Intracerebral and Intraventricular Hemorrhage: Rationale, Review of Existing Data and Emerging Technologies. Stroke. 2016; 47(5):1399-406. DOI: 10.1161/STROKEAHA.115.011415. View

4.
Gaberel T, Magheru C, Parienti J, Huttner H, Vivien D, Emery E . Intraventricular fibrinolysis versus external ventricular drainage alone in intraventricular hemorrhage: a meta-analysis. Stroke. 2011; 42(10):2776-81. DOI: 10.1161/STROKEAHA.111.615724. View

5.
FREYTAG E . Fatal hypertensive intracerebral haematomas: a survey of the pathological anatomy of 393 cases. J Neurol Neurosurg Psychiatry. 1968; 31(6):616-20. PMC: 496432. DOI: 10.1136/jnnp.31.6.616. View