Minimally Invasive Surgery for Intracerebral Hemorrhage

被引：57

作者：

Hersh, Eliza H. ^{[1
]}

Gologorsky, Yakov ^{[1
]}

Chartrain, Alex G. ^{[1
]}

Mocco, J. ^{[1
]}

Kellner, Christopher P. ^{[1
]}

机构：

[1] Icahn Sch Med Mt Sinai, Dept Neurosurg, One Gustave L Levy Pl, New York, NY 10029 USA

来源：

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS | 2018年 / 18卷 / 06期

关键词：

Intracerebral hemorrhage; Hemorrhagic stroke; Minimally invasive surgery; Endoscopic surgery; Stereotactic thrombolysis; INITIAL CONSERVATIVE TREATMENT; PLASMINOGEN-ACTIVATOR; EVACUATION; HEMATOMA; TRIAL; MANAGEMENT; STICH;

D O I：

10.1007/s11910-018-0836-4

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Recent success in preliminary clinical studies evaluating various forms of minimally invasive surgery for spontaneous intracerebral hemorrhage (ICH) has renewed interest in the surgical treatment of this disease process. In December of 2016, phase 2 of the Minimally Invasive Surgery Plus Rt-PA for ICH Evacuation (MISTIE) study demonstrated that this form of stereotactic thrombolysis safely reduces clot burden and may improve functional outcome 6 months after injury. A smaller arm of this study, the Intraoperative Stereotactic Computer Tomography-Guided Endoscopic Surgery (ICES) study, also demonstrated feasibility and good functional outcome for endoscopic minimally invasive evacuation. Early-phase clinical studies evaluating various forms of minimally invasive surgery for intracerebral hemorrhage evacuation have shown safety and feasibility with a preliminary signal towards improved functional long-term outcome. Results from phase 3 studies addressing various minimally invasive techniques are imminent and will shape how intracerebral hemorrhage is treated.

引用

页数：7

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