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Updated: Jan 13, 2026

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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
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Initial Single-Center Technical Experience With the BrainPath System for Acute Intracerebral Hemorrhage Evacuation
Operative Neurosurgery (Hagerstown, Md.)
|September 22, 2017
Summary
Minimally invasive surgery using the BrainPath system effectively removes intracerebral hemorrhage (ICH) clot, showing promising early results. This technique appears safe and technically successful, with improved patient outcomes and reduced mortality.
Area of Science:
- Neurosurgery
- Minimally Invasive Procedures
- Cerebrovascular Diseases
Background:
- Acute intracerebral hemorrhage (ICH) carries high morbidity and mortality.
- Previous surgical interventions for ICH have often lacked significant clinical benefit.
- Emerging minimally invasive techniques offer potential improvements.
Purpose of the Study:
- To evaluate the early technical experience and outcomes of minimally invasive clot evacuation using the BrainPath system for ICH.
- To assess the safety and efficacy of the BrainPath system in reducing ICH volume.
Main Methods:
- Prospective data collection from patients undergoing BrainPath ICH evacuation at a single center.
- Analysis of pre- and post-evacuation ICH volumes, complication rates, and early mortality.
- Assessment of Glasgow Coma Score changes and identification of bleeding sources.
Main Results:
- Significant reduction in mean ICH volume (95.7%) was achieved.
- The BrainPath system demonstrated technical effectiveness with a high rate of clot removal.
- Early outcomes showed improved Glasgow Coma Score and a low 30-day mortality rate (5.6%).
Conclusions:
- BrainPath system evacuation of ICH is a safe and technically effective procedure.
- The technique achieves substantial clot removal, comparable to other studies.
- Early clinical improvements suggest potential benefits, with ongoing analysis for long-term outcomes.

