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Navigation-assisted aspriation and thrimbolysis of Deep intracerebral Hemorrhage

 Nam Kyu You  ;  Jung Yong Ahn  ;  Jin Yang Joo  ;  Chang Ki Hong  ;  Jun Hyung Cho 
 Korean Journal of Cerebrovascular Surgery (대한뇌혈관외과학회지), Vol.9(3) : 172-176, 2007 
Journal Title
Korean Journal of Cerebrovascular Surgery(대한뇌혈관외과학회지)
Issue Date
Objective : Frame-based stereotatic catheter placement and subsequent thrombolysis is one treatment option for the management of a deep intracerebral hemorrhage. Recently, frameless stereotactic surgery with a navigation system has been introduced to reduce the hematoma volume. This study was designed to evaluate the effectiveness of frameless stereotactic ICH catheterization using a navigation system. Methods : From January 2006 to November 2006, we identified 27 patients who were diagnosed with deep ICH and underwent navigationassisted frameless stereotactic catheter insertion with/without thrombolysis by urokinase irrigation. Results : The mean length between the center of the hematoma and the tip of the catheter was 6.8 mm (range between0 and 15 mm). The catheter tip and target matched in 8 patients (29.6%). In cases of an inappropriately located catheter tip (70.4%), most of the hematomas were thalamic in location due to the long trajectory (9 of 10 thalamic locations). The preoperative hematoma volume showed a statistically significant correlation with the final hematoma volume. There was no mortality reported. Multiple regression analysis showed a statistically significant correlation between the initial Glasgow coma scale score and the outcome. Conclusions : Navigation-assisted frameless stereotactic ICH catheterization has limited accuracy but is effective in reducing the ICH volume reduction.
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1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Jung Yong(안정용)
Joo, Jin Yang(주진양)
Hong, Chang Ki(홍창기) ORCID logo https://orcid.org/0000-0002-2761-0373
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