Minimally invasive intracerebral hemorrhage evacuation techniques: A review

Theodore C. Hannah, Rebecca Kellner, Christopher P. Kellner

Research output: Contribution to journalReview articlepeer-review

28 Scopus citations

Abstract

Intracerebral hemorrhage (ICH) continues to have high morbidity and mortality. Improving ICH outcomes likely requires rapid removal of blood from the parenchyma and restraining edema formation while also limiting further neuronal damage due to the surgical intervention. Minimally invasive surgery (MIS) approaches promise to provide these benefits and have become alluring options for management of ICH. This review describes six MIS techniques for ICH evacuation including craniopuncture, stereotactic aspiration with thrombolysis, endoport-mediated evacuation, endoscope-assisted evacuation, adjunctive aspiration devices, and the surgiscope. The efficacy of each modality is discussed based on current literature. The largest clinical trials have yet to demonstrate definitive effects of MIS intervention on mortality and functional outcomes for ICH. Thus, there is a significant need for further innovation for ICH treatment. Multiple ongoing trials promise to better clarify the potential of the newer, non-thrombolytic MIS techniques.

Original languageEnglish
Article number576
JournalDiagnostics
Volume11
Issue number3
DOIs
StatePublished - Mar 2021

Keywords

  • ICH evacuation
  • Intracerebral hemorrhage
  • MISTIE
  • Minimally invasive surgery
  • Neurosurgery
  • SCUBA

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