Related Experiment Video

Updated: Jun 28, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Bedside catheter evacuation of predominantly isolated traumatic supratentorial hemorrhage

Martin H Deininger1, Abbas Adam, Vera Van Velthoven

  • 1Department of Neurosurgery, University of Freiburg Medical School, Freiburg, Germany. martin.deininger@uniklinik-freiburg.de

The Journal of Trauma
|November 13, 2008
PubMed

Insights

A minimally-invasive catheter technique effectively evacuates traumatic brain hemorrhages. This bedside procedure offers a rapid and safe option for patients with isolated intracerebral hemorrhage.

Area of Science:

  • Neurosurgery
  • Traumatology
  • Medical Devices

Background:

  • Intracerebral hemorrhage (ICH) is a rare but serious complication following traumatic brain injury.
  • Patients with coagulation disorders are particularly susceptible to ICH.
  • Predominantly isolated supratentorial hemorrhages present unique management challenges.

Purpose of the Study:

  • To evaluate the efficacy and safety of a novel minimally-invasive free-hand bedside catheter evacuation technique for traumatic ICH.
  • To assess the procedural characteristics and patient outcomes associated with this intervention.

Main Methods:

  • Development of a free-hand bedside catheter evacuation procedure utilizing 3D-CT reconstruction imaging.
  • Retrospective analysis of twelve patients who underwent the procedure.
  • Urokinase-lysis employed for hemorrhage evacuation post-catheter placement.

Main Results:

  • The procedure averaged approximately 15 minutes.
  • Significant hemorrhage reduction (mean 66% or 37 mL) achieved within 4 days.
  • No catheter-related complications observed; 16% 30-day mortality.
  • Favorable outcomes achieved in 9 out of 12 patients at long-term follow-up (mean 19 months).

Conclusions:

  • Free-hand bedside catheter evacuation is a rapid, simple, and effective technique for managing predominantly isolated traumatic supratentorial hemorrhage.
  • The procedure can be performed in any intensive care unit setting.
  • This method demonstrates comparable or improved outcomes to existing treatments for traumatic ICH.
Abstract

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...