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Keywords surgical treatment for intrace...

surgical treatment for intracerebral hemorrhage

https://read.qxmd.com/read/38540121/identifying-predictors-of-initial-surgical-failure-during-minimally-invasive-endoscopic-intracerebral-hemorrhage-evacuation
#1
JOURNAL ARTICLE
Turner S Baker, Roshini Kalagara, Ayesha Hashmi, Benjamin Rodriguez, Shelley H Liu, Hana Mobasseri, Colton Smith, Benjamin Rapoport, Anthony Costa, Christopher P Kellner
Background and Purpose : Intracerebral hemorrhage (ICH) is a common and severe disease with high rates of morbidity and mortality; however, minimally invasive surgical (MIS) hematoma evacuation represents a promising avenue for treatment. In February of 2019, the MISTIE III study found that stereotactic thrombolysis with catheter drainage did not benefit patients with supratentorial spontaneous ICH but that a clinical benefit may be present when no more than 15 mL of hematoma remains at the end of treatment...
February 23, 2024: Biomedicines
https://read.qxmd.com/read/38522225/risk-factors-for-unfavorable-outcome-after-spontaneous-intracerebral-hemorrhage-in-elderly-patients
#2
JOURNAL ARTICLE
Vitalij Zeiser, Farjad Khalaveh, Anna Cho, Andrea Reinprecht, Johannes Herta, Karl Rössler, Christian Dorfer
BACKGROUND: Spontaneous intracerebral hemorrhage (SICH) of the elderly is a devastating form of stroke with a high morbidity and economic burden. There is still a limited understanding of the risk factors for an unfavorable outcome where a surgical therapy may be less meaningful. Thus, the aim of this study is to identify factors associated with unfavorable outcome and time to death in surgically treated elderly patients with SICH. METHODS: We performed a single-center retrospective study of 70 patients (age > 60 years) with SICH operated between 2008 and 2020...
March 22, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38475783/comparison-of-the-efficacy-of-neuronavigation-assisted-intracerebral-hematoma-puncture-and-drainage-with-neuroendoscopic-hematoma-removal-in-treatment-of-hypertensive-cerebral-hemorrhage
#3
JOURNAL ARTICLE
Lei Jiang, Jinjie Tian, Chao Guo, Yi Zhang, Ming Qian, Xuejian Wang, Zhifeng Wang, Yang Chen
OBJECTIVE: To compare neuronavigation-assisted intracerebral hematoma puncture and drainage with neuroendoscopic hematoma removal for treatment of hypertensive cerebral hemorrhage. METHOD: Ninety-one patients with hypertensive cerebral hemorrhage admitted to our neurosurgery department from June 2022 to May 2023 were selected: 47 patients who underwent endoscopic hematoma removal with the aid of neuronavigation in observation Group A and 44 who underwent intracerebral hematoma puncture and drainage in control Group B...
March 12, 2024: BMC Surgery
https://read.qxmd.com/read/38457809/risk-factors-for-delayed-postoperative-hemorrhage-in-patients-with-brain-arteriovenous-malformations-an-analysis-of-the-nationwide-multicenter-prospective-registry-match-study
#4
JOURNAL ARTICLE
Debin Yan, Kexin Yuan, Yu Chen, Kaihong Zheng, Heze Han, Zhipeng Li, Haibin Zhang, Ruinan Li, Ke Wang, Yukun Zhang, Xiaolin Chen, Yuanli Zhao
OBJECTIVE: Reducing the incidence of delayed postoperative hemorrhage (DPH) is one of the challenges in the surgical treatment of patients with brain arteriovenous malformations (bAVMs). This study aimed to identify several risk factors for DPH after bAVM resection and evaluate the impact of these risk factors in patients with bAVMs. METHODS: The authors retrospectively reviewed consecutive patients with bAVMs who underwent microsurgical resection between August 2011 and September 2021...
March 8, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38407112/influencing-factors-of-constipation-in-elderly-patients-with-intracerebral-hemorrhage-implication-for-clinical-care
#5
JOURNAL ARTICLE
Meng Wang, Jue Lu, Ziwei Lu, Zhong Wang, Zhuo Wang, Chao Wu
Background: Constipation is common in elderly inpatients with intracerebral hemorrhage. This study aimed to construct a model for predicting the risk of constipation in elderly inpatients with intracerebral hemorrhage and to provide reference for formulating targeted intervention measures. Methods: Elderly patients with intracerebral hemorrhage who were treated in the department of Neurosurgery of a third-class hospital in Suzhou from January 2018 to September 2023 were included. Clinical data of patients with and without constipation were compared...
February 26, 2024: Biological Research for Nursing
https://read.qxmd.com/read/38344101/surgical-strategy-for-intracranial-hemorrhage-with-accidental-hypothermia-in-elderly-individuals
#6
Yoshimi Shinohara, Ryo Miyaoka, Junkoh Yamamoto
BACKGROUND: Accidental hypothermia poses a significant threat to the elderly, and its prevalence might increase due to aging and increasing isolation of individuals in Japan. Here, a series of four consecutive cases of accidental hypothermia in elderly patients with intracranial hemorrhage who underwent surgical treatment at our institution is presented. CASE DESCRIPTION: All patients were admitted to the emergency department with a diagnosis of intracranial hemorrhage...
2024: Surgical Neurology International
https://read.qxmd.com/read/38335374/comparison-of-therapeutic-effects-of-endoscopic-assisted-different-surgical-approaches-in-hypertensive-intracerebral-hemorrhage-a-retrospective-cohort-study
#7
JOURNAL ARTICLE
Song Wang, Fei Su, Xiguang Zhou, Long Liu, Ruishan Zhang, Zhensheng Xue
We aimed to explore the therapeutic effects of endoscopically assisted surgical approaches for HICH. In this retrospective cohort study, we retrospectively analyzed the treatment status of 118 patients with HICH who underwent surgery for hematoma removal. Among them, 61 patients underwent endoscopically assisted hematoma removal surgery through the frontal lobe approach (frontal lobe group); 57 patients underwent endoscopic hematoma assisted via the temporal lobe approach (temporal lobe group). Treatment effects, cerebral hemodynamic status before and after treatment, postoperative prognosis at one month, and incidence of complications were compared between the 2 groups...
February 9, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38291017/efficacy-and-safety-of-neuroendoscopic-surgery-for-intracerebral-hemorrhage-a-randomized-controlled-open-label-blinded-endpoint-trial-nesich
#8
JOURNAL ARTICLE
Long Wang, Tengyuan Zhou, Pangbo Wang, Shuixian Zhang, Yi Yin, Lin Chen, Haijun Duan, Na Wu, Hua Feng, Rong Hu
BACKGROUND: Neuroendoscopy is a minimally invasive procedure for clot evacuation in intracerebral hemorrhage (ICH) which may have advantages compared with open surgical evacuation procedures. The application of neuroendoscopy in ICH has attracted increasing attention in recent years. However, it remains unclear whether it could improve outcomes in patients with ICH. OBJECTIVE: The aim of this study is to explore the efficacy and safety of neuroendoscopic hematoma evacuation surgery compared with standard conservative treatment for spontaneous deep supratentorial cerebral hemorrhage...
February 19, 2024: International Journal of Stroke: Official Journal of the International Stroke Society
https://read.qxmd.com/read/38288280/the-predictive-role-of-the-nomogram-based-on-clinical-characteristics-and-thromboelastography-markers-for-rebleeding-after-hypertensive-intracerebral-hemorrhage
#9
JOURNAL ARTICLE
Peng Wang, Shasha Yang, Muguo Guoji, Li Nan, Neng Zhang, Jing Zhang
OBJECTIVES: Rebleeding after hypertensive intracerebral hemorrhage is a common and serious postoperative complication in neurosurgery, with high mortality and mental disability rates. The aim of this study was to establish a nomogram to analyze the role of thromboelastography in predicting rebleeding after hypertensive intracerebral hemorrhage. BASIC METHODS: We selected 375 patients with hypertensive intracerebral hemorrhage who underwent surgical treatment in Yuebei People's Hospital of Shaoguan City, Guangdong Province from May 2018 to August 2022, and retrospectively analyzed the relevant data of hypertensive intracerebral hemorrhage patients (including general data and clinical thromboelastography data), and analyzed the factors and thromboelastography parameters that affect rebleeding after surgery (45 cases, defined as re-examination of head CT within 72 h after surgery showed that the hematoma in the surgical area exceeded 20 ml)...
March 2024: Biochemistry and Biophysics Reports
https://read.qxmd.com/read/38276266/impact-of-pelvic-fracture-on-patients-with-blunt-bowel-mesenteric-injury-is-immediate-laparotomy-warranted
#10
JOURNAL ARTICLE
Ting-Min Hsieh, Po-Chun Chuang, Chun-Ting Liu, Bei-Yu Wu, Chien-Hung Wu, Fu-Jen Cheng
The management of blunt abdominopelvic trauma with combined hemoperitoneum and pelvic fractures is challenging for trauma surgeons. Although angioembolization can achieve hemostasis in most visceral organ injuries and pelvic fractures after blunt abdominal trauma, it cannot effectively control hemorrhage in patients with blunt bowel mesenteric injury (BBMI). This study aimed to determine the risk factors associated with hemodynamically unstable patients with BBMI and to test the hypothesis that pelvic fracture is an independent risk factor for patients with unstable BBMI and concomitant pelvic fracture to guide the therapeutic sequence for difficult-to-manage patients...
December 21, 2023: Life
https://read.qxmd.com/read/38178114/predictors-of-extubation-failure-and-prolonged-mechanical-ventilation-among-patients-with-intracerebral-hemorrhage-after-surgery
#11
JOURNAL ARTICLE
Ue-Cheung Ho, Chia-Jung Hsieh, Hsueh-Yi Lu, Abel Po-Hao Huang, Lu-Ting Kuo
BACKGROUND: Spontaneous intracerebral hemorrhage (ICH) is a condition associated with high mortality and morbidity. Survivors may require prolonged intubation with mechanical ventilation (MV). The aim of this study was to analyze the predictors of extubation failure and prolonged MV in patients who undergo surgical evacuation. METHODS: This retrospective study was conducted on adult patients with ICH who underwent MV for at least 48 h and survived > 14 days after surgery...
January 4, 2024: Respiratory Research
https://read.qxmd.com/read/38129241/the-effect-of-green-channel-for-stroke-patients-on-treatment-of-severe-aneurysmal-subarachnoid-hemorrhage
#12
JOURNAL ARTICLE
Xue-Jiao Wang, Yu Deng, Xiao-Qing Li, Feng-Feng Jiang, Wen-Yan Jia, He-Chun Zhang, Feng-Ying Chen, Bai-Yun Liu
PURPOSE: To explore the effect of green channel for stroke patients on the treatment of severe aneurysmal subarachnoid hemorrhage. METHODS: This is a retrospective case-control study. The clinical data of patients with severe aneurysmal subarachnoid hemorrhage admitted to the emergency department of our hospital from January 2015 to June 2022 were retrospectively analyzed. Patients diagnosed with subarachnoid hemorrhage, confirmed intracranial aneurysm by preoperative CT angiography or digital subtraction, graded Hunt-Hess grade III, IV, and V, < 72 h from the onset to the time of consultation received surgical treatment in our hospital were included in this study...
November 28, 2023: Chinese Journal of Traumatology
https://read.qxmd.com/read/38092355/endovascular-treatment-for-ruptured-intracranial-aneurysm-with-intracerebral-hematoma-clinical-propriety-of-less-invasive-treatment
#13
JOURNAL ARTICLE
Takeshi Hara, Daizo Ishii, Masashi Kuwabara, Hiroshi Kondo, Nobutaka Horie
BACKGROUND: Endovascular treatment for ruptured intracranial aneurysms (rIA) accompanied by intracerebral hematoma (ICH) can be challenging because ICH may be enlarged due to intraoperative anticoagulation during the endovascular procedure. This retrospective study aimed to compare the outcomes of aneurysmal subarachnoid hemorrhage (SAH) with and without ICH treated by endovascular procedures. METHODS: We reviewed 62 cases who underwent endovascular treatment for rIA between January 2015 and April 2023...
December 11, 2023: World Neurosurgery
https://read.qxmd.com/read/38065865/meta-analysis-of-stereotactic-hematoma-removal-and-craniotomy-hematoma-removal-in-the-treatment-of-hypertensive-intracerebral-hemorrhage-in-the-elderly
#14
JOURNAL ARTICLE
Chao Tang, Min Zhang, Wei Li
BACKGROUND: A large number of clinical studies suggested that surgery might be a better choice than conservative treatment for treating hypertensive intracerebral hemorrhage in the middle-aged and elderly. Stereotactic puncture can reduce the mass effect caused by hematoma, reduce the intervention of body homeostasis, reduce brain tissue damage, and improve the prognosis of patients with cerebral hemorrhage. This meta-analysis aims to evaluate the efficacy of stereotactic puncture and craniotomy in elderly patients with hypertensive intracerebral hemorrhage...
December 8, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38053714/cerebral-microdialysis-demonstrates-improvements-in-brain-metabolism-with-cerebrospinal-fluid-diversion-in-spontaneous-intracerebral-hemorrhage
#15
Ishan Shah, Patrick M Chen, Diem Kieu Thi Tran, Jefferson W Chen
BACKGROUND: Cerebral microdialysis (CMD) is an FDA-approved multimodal invasive monitoring technique that provides local brain metabolism measurements through continuous interstitial brain fluid sampling at the bedside. The past applications in traumatic brain injury and subarachnoid hemorrhage show that acute brain injury (ABI) can lead to a metabolic crisis reflected by changes in cerebral glucose, pyruvate, and lactate. However, limited literature exists on CMD in spontaneous intracerebral hemorrhage (ICH)...
2023: Surgical Neurology International
https://read.qxmd.com/read/38021566/spontaneous-intracranial-hemorrhage-concurrent-with-subarachnoid-and-subdural-hemorrhages-report-of-a-rare-case
#16
Mohammed Khaleel I Kh Almadhoun, Abdallah Wasel Hattab, Nemer Nedal Alazzeh, Sufyan Taleb Aladwan
Spontaneous intracerebral hemorrhage (SICH) is a rare occurrence in the temporal lobe, and its coexistence with other intracranial bleeding types such as subdural hemorrhage (SDH) and subarachnoid hemorrhage (SAH) is infrequently documented. Typically, SICH is managed conservatively without surgical intervention. In this case report, we present an unusual case of SICH in the temporal lobe, characterized by bleeding extending beyond the brain parenchyma into the subarachnoid and subdural spaces. Our approach involved tubular hematoma evacuation (surgical approach)...
October 2023: Curēus
https://read.qxmd.com/read/37960793/application-of-sofia-plus-catheter-tip-shaping-in-the-treatment-of-acute-middle-cerebral-artery-occlusion-a-case-control-study
#17
JOURNAL ARTICLE
Ning Han, Liang Ma, Yanzhao Xie, Guodong Xu, Yangjuan Jia, Ning Zhang, Hebo Wang
To explore the safety and efficacy of Sofia Plus distal access catheter tip shaping for treatment of acute middle cerebral artery embolism. This single-center retrospective study involved patients eligible for acute embolic middle cerebral artery occlusion from January 2020 to October 2021. They were divided into a shaping and non-shaping group according to whether the Sofia Plus catheter tip was shaped intraoperatively. Baseline data, preoperative Alberta Stroke Program Early Computed Tomography (ASPECT) score, National Institutes of Health Stroke Scale (NIHSS) score, onset-to-admission time, admission-to-puncture time, Sofia Plus-clot time, puncture-to-reperfusion time, surgical approach, and use of a stent for rescue thrombectomy were compared between the 2 groups...
November 10, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37939108/a-decision-tree-model-to-help-treatment-decision-making-for-severe-spontaneous-intracerebral-hemorrhage
#18
JOURNAL ARTICLE
Kaiwen Wang, Qingyuan Liu, Shaohua Mo, Kaige Zheng, Xiong Li, Jiangan Li, Shanwen Chen, Xianzeng Tong, Yong Cao, Zhi Li, Jun Wu, Shuo Wang
BACKGROUND: Surgical treatment demonstrated a reduction in mortality among patients suffering from severe spontaneous intracerebral hemorrhage (SSICH). However, which SSICH patients could benefit from surgical treatment was unclear. This study aimed to establish and validate a decision tree (DT) model to help determine which SSICH patients could benefit from surgical treatment. MATERIALS AND METHODS: SSICH patients from a prospective, multicenter cohort study were analyzed retrospectively...
November 8, 2023: International Journal of Surgery
https://read.qxmd.com/read/37840614/predictor-of-the-postoperative-swelling-after-craniotomy-for-spontaneous-intracerebral-hemorrhage-sphericity-index-as-a-novel-parameter
#19
JOURNAL ARTICLE
Jae Hoon Choi, Won Ki Yoon, Jong Hyun Kim, Taek Hyun Kwon, Joonho Byun
OBJECTIVE: Spontaneous intracerebral hemorrhage is a serious type of stroke with high mortality and disability rates. Surgical treatment options vary; however, predicting edema aggravation is crucial when choosing the optimal approach. We propose using the sphericity index, a measure of roundness, to predict the aggravation of edema and guide surgical decisions. METHODS: We analyzed 56 cases of craniotomy and hematoma evacuation to investigate the correlation between the sphericity index and patient outcomes, including the need for salvage decompressive craniectomy (DC)...
September 2023: Korean Journal of Neurotrauma
https://read.qxmd.com/read/37784668/surgically-targeted-radiation-therapy-start-for-brain-metastases-initial-experience-from-a-prospective-multi-institutional-registry
#20
JOURNAL ARTICLE
R Kotecha, M W McDermott, C Chen, C Ferreira, S Hanft, C Shen, J Wanebo, K Smith, Z Wardak, T Patel, R Chamoun, K B Hoang, O Choutka, A Rodriguez, M Shah, D G Brachman, L Campbell, S Patel
PURPOSE/OBJECTIVE(S): Resection and intraoperative brachytherapy for patients with large, operable brain metastasis allows for both relief of mass effect and the delivery of radiotherapy (RT) to the resection cavity with a favorable dosimetric profile. The objective of this study was to analyze early patterns-of-care and treatment-related toxicity outcomes for brain metastasis patients treated with surgically targeted radiation therapy (STaRT) using a novel brachytherapy carrier. MATERIALS/METHODS: Patients with brain metastasis, de novo and recurrent disease, who enrolled onto a prospective multi-institutional observational study (NCT04427384) were the subject of this analysis...
October 1, 2023: International Journal of Radiation Oncology, Biology, Physics
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