Article
Efficient endoscopic evacuation method for hypertensive intracerebral haematoma
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Published: | June 4, 2012 |
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Outline
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Objective: We described our efficient endoscopic evacuation method for hypertensive intracerebral hematoma (HICH).
Methods: The endoscopic procedures were basically performed under generalized anesthesia. The position of the burr hole was determined by the image guidance of the magnetic neuro-navigation system (Medtronic Inc). A rigid rod endoscope was fixed with Endoarm (Olympus. Co. Ltd) which could easily held the endoscope at any suitable position and any angle. Then the endoscope and the suction device with irrigation channel were introduced through a transparent sheath into the hematoma cavity. Twenty three HICH, including 14 putaminal, 6 subcortical, and 3 cerebellar hematoma were evacuated under the endoscope.
Results: In all cases, arterial bleedings encountered during the evacuation were well controlled with monopolar coagulation through suction device. Repeated irrigation and suction technique was useful to see the hematoma under the evacuation. The haematoma evacuation ratio was more than 90%.
Conclusions: Our endoscopic evacuation method using Endoarm and the suction device with irrigation channel is efficient and safe procedure for HICH.