Related Experiment Video
Updated: May 9, 2025
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
How we do it: Ultrasound-guided scuba technique for evacuation of intracerebral hematoma
Alejandra Mosteiro1,2, Alberto Di Somma3,4,5, Luis Reyes1
1Department of Neurosurgery, Hospital Clínic de Barcelona, Barcelona, Spain.
Background:
Minimally invasive treatment of intracerebral hematomas is gaining importance following recent trials. Clot evacuation must minimise collateral damage while assuring optimal blood-volume reduction. Technical refinements call for systematic yet dynamic procedures, where ultrasound is an asset.
Method:
Description of the "Scuba" procedure and workflow: stereotactic canula insertion, clot evacuation with aspiration-debriding system under endoscopic view. Step-by-step ultrasound findings detailed.
Conclusion:
ICH endoscopic evacuation may become a workhorse for cerebrovascular surgeons. Ultrasound provides real-time feedback on hematoma evacuation, becoming a reliable dynamic element in intraoperative decision-making. Yet, US requires a different operative setup and adds on to the learning curve.
