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Updated: Dec 23, 2025
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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
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Advanced Techniques for Endoscopic Intracerebral Hemorrhage Evacuation: A Technical Report With Case Examples
Robert J Rothrock1, Alexander G Chartrain1, Jacopo Scaggiante1
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Operative Neurosurgery (Hagerstown, Md.)
|April 24, 2020
Summary
Endoscopic minimally invasive intracerebral hemorrhage (ICH) evacuation using an aspiration device shows high efficacy, achieving an 88.7% evacuation rate. Continued discussion of surgical techniques is vital for optimizing safety and effectiveness in treating ICH.
Area of Science:
- Neurosurgery
- Minimally Invasive Procedures
- Cerebrovascular Surgery
Background:
- Minimally invasive techniques for intracerebral hemorrhage (ICH) evacuation are under investigation.
- Endoscopic evacuation with aspiration devices minimizes collateral damage.
- Developing specific operative tenets is crucial for endoscopic ICH evacuation.
Purpose of the Study:
- To detail the operative nuances of endoscopic minimally invasive ICH evacuation.
- To share insights from a single center's experience with 80 procedures.
Main Methods:
- Endoscopic minimally invasive ICH evacuation performed on 79 patients (March 2016 - May 2018).
- Summarized 4 core operative tenets and 4 main techniques.
- Analysis of 80 procedures.
Main Results:
- 80 endoscopic minimally invasive ICH evacuations completed.
- Average preoperative volume: 49.5 mL; postoperative volume: 5.4 mL.
- Achieved an 88.7% average clot evacuation rate with 8.9% 30-day mortality.
Conclusions:
- Endoscopic minimally invasive ICH evacuation demonstrates significant efficacy.
- Building experience and academic discussion of techniques are key to maximizing safety and efficacy.
