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Emerging approaches in the management of intracranial hemorrhage: ARISE II consensus recommendations

Mark Bain1, Christopher Paul Kellner2, Ricardo A Hanel3

  • 1Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA bainm@ccf.org.

Journal of Neurointerventional Surgery
|November 11, 2025
PubMed

Insights

Despite advances in understanding intracranial hemorrhage (ICH), consensus on management is lacking. Key research focuses include early intervention, minimally invasive surgery, and leveraging technologies like AI to improve patient outcomes.

Area of Science:

  • Neurology
  • Neurosurgery
  • Medical Technology

Background:

  • Intracranial hemorrhage (ICH) management faces challenges due to understudied areas and inconsistent practices.
  • High disease severity and prevalence necessitate urgent consensus recommendations for research and clinical guidance.

Purpose of the Study:

  • To examine emerging approaches in intracranial hemorrhage (ICH) management.
  • To identify future impacts of these approaches on patient care and guide research strategies.

Main Methods:

  • Convened a group of clinical experts, industry leaders, and government representatives.
  • Examined emerging technologies and surgical techniques for ICH treatment.

Main Results:

  • Identified timing of intervention (within 24 hours) and minimally invasive evacuation (especially for basal ganglia) as key research focuses.
  • Highlighted mobile stroke units and artificial intelligence (AI) as promising for streamlining workflows and improving intervention times.
  • Emphasized the need for advanced surgical technologies for better ICH visualization and evacuation.

Conclusions:

  • Further research, industry collaboration, and investment are crucial for advancing ICH treatment.
  • Developing surgical technologies and optimizing intervention timing are vital for improving patient care in ICH.
  • Integrating mobile stroke units and AI can enhance efficiency and speed of care for ICH patients.

Keywords:
BrainHemorrhage

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