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Abstract - Original Article
| J Cerebrovasc Endovasc Neurosurg. 2022 24(2): 121-128 ¨Ï The Journal of Cerebrovascular and Endovascular Neurosurgery |
 
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| A study on the proper catheter position in minimally invasive surgery using stereotactic aspiration plus urokinase for intracerebral hemorrhage |
| Sihyun Rho1, Tae Sun Kim2, Sung Pil Joo2, Tae Sik Gong1, Hyo Joon Kim1, Min Park1 |
| 1Department of Neurosurgery, Presbyterian Medical Center, Jeonju, Korea, 2Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, Korea |
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| Objective: The surgical method for treating spontaneous intracranial hemorrhage (ICH) is not well established despite ICH¡¯s high prevalence and poor prognosis. Minimally invasive surgery has recently received attention; however, literature on this method is scarce. In particular, the appropriate location of the catheter in the hematoma has not been described. We examined whether the catheter position affects the hematoma reduction in a hematoma £¾50 cc.
Methods: We investigated the prognoses of 36 patients with ICH who underwent stereotactic aspiration and hematoma drainage using urokinase from January 2010 to December 2018 and the hematoma reduction rates according to the tube position. Two methods evaluated the position of the catheter. In the first method, the hematoma was an imaginary sphere. The center point was set as the operation target. We evaluated the catheter position by determining whether it was in the deep part or the outer part of the half point from that location to the hematoma margin. In the second method, we evaluated whether the catheter was located 1 cm inside the hematoma margin.
Results: In both the first and second evaluations, there were no differences in age, midline shift, intraventricular hemorrhage status, hematoma volume on admission, Glasgow Coma Scale score on admission, time to operation after symptom onset, and systolic blood pressure. The rates of decrease in bleeding and the prognoses were also not significantly different.
Conclusions: If the catheter is in the hematoma, the rate of hematoma reduction at any position is similar. |
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| Key words : Stereotactic techniques, Intracerebral hematoma, Minimally invasive surgical procedures |
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