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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

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Published on: October 15, 2021

How I do it: endoscopic evacuation of intraventricular lesions using a flexible endoscope in combination with an

Kei Yamashiro^1,2, Saeko Higashiguchi^3,4, Motoharu Hayakawa^3,4

¹Department of Neurosurgery, Okazaki Medical Center, Fujita Health University, Harisaki-Cho, 1 Gotanda, Okazaki, Aichi, 444-0827, Japan. keiyamashiro1577@gmail.com.

Acta Neurochirurgica

|January 28, 2024

Abstract

Background:

In intraventricular surgery using a flexible endoscope, the lesion is usually aspirated via the working channel. However, the surgical view during aspiration is extremely poor because the objective lens is located adjacent to the working channel.

Method:

To address this issue, we developed a novel surgical procedure using an angiographic catheter. In this procedure, the catheter is inserted into the working channel, and the lesion is aspirated through the catheter. Besides, continuous intraventricular irrigation is performed via the gap between the catheter and the working channel.

Conclusion:

This procedure maintains a clear view during surgery and reduces complications.

Keywords:

Angiographic catheter Colloid cyst Flexible endoscope Hemorrhage Hydrocephalus Ventricle

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