ULTRASOUND GUIDED ASPIRATION AND THROMBOLYSIS OF PUTAMINAL HEMORRHAGE

2008 ◽  
Vol 5 (1) ◽  
pp. A1-A1
Author(s):  
Wilson W.S. Ho ◽  
C.K. Wong
2015 ◽  
Vol 123 (5) ◽  
pp. 1151-1155 ◽  
Author(s):  
Hirokazu Sadahiro ◽  
Sadahiro Nomura ◽  
Hisaharu Goto ◽  
Kazutaka Sugimoto ◽  
Akinori Inamura ◽  
...  

OBJECT Endoscopic surgery plays a significant role in the treatment of intracerebral hemorrhage. However, the residual hematoma cannot be measured intraoperatively from the endoscopic view, and it is difficult to determine the precise location of the endoscope within the hematoma cavity. The authors attempted to develop real-time ultrasound-guided endoscopic surgery using a bur-hole-type probe. METHODS From November 2012 to March 2014, patients with hypertensive putaminal hemorrhage who underwent endoscopic hematoma removal were enrolled in this study. Real-time ultrasound guidance was performed with a bur-hole-type probe that was advanced via a second bur hole, which was placed in the temporal region. Ultrasound was used to guide insertion of the endoscope sheath as well as to provide information regarding the location of the hematoma during surgical evacuation. Finally, the cavity was irrigated with artificial cerebrospinal fluid and was observed as a low-echoic space, which facilitated detection of residual hematoma. RESULTS Ten patients with putaminal hemorrhage > 30 cm3 were included in this study. Their mean age (± SD) was 60.9 ± 8.6 years, and the mean preoperative hematoma volume was 65.2 ± 37.1 cm3. The mean percentage of hematoma that was evacuated was 96% ± 3%. None of the patients exhibited rebleeding after surgery. CONCLUSIONS This navigation method was effective in demonstrating both the real-time location of the endoscope and real-time viewing of the residual hematoma. Use of ultrasound guidance minimized the occurrence of brain injury due to hematoma evacuation.


2001 ◽  
Vol 120 (5) ◽  
pp. A559-A559
Author(s):  
J HAENSLER ◽  
A RAIBLE ◽  
W HOLTKAMP ◽  
M FRAUENDORF ◽  
A WITTE ◽  
...  

2001 ◽  
Vol 120 (5) ◽  
pp. A475-A475
Author(s):  
M SAILER ◽  
D BUSSEN ◽  
M KRAEMER ◽  
M FEIN ◽  
S FREYS ◽  
...  

2019 ◽  
Vol 25 ◽  
pp. 306
Author(s):  
Tien-Hao Lee ◽  
Russell Gibson ◽  
Judith Giunta
Keyword(s):  

VASA ◽  
2004 ◽  
Vol 33 (2) ◽  
pp. 78-81 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Jeanneret ◽  
Labs ◽  
Jäger

Background: Haemostatic puncture closure devices for rapid and effective hemostasis after arterial catheterisation are a comfortable alternative to manual compression. Implanting a collagen plug against the vessel wall may become responsible for other kind of vascular injuries i.e. thrombotic or stenotic lesions and peripheral embolisation. The aim of this paper is to report our clinically relevant vascular complications after Angio-Seal® and to discuss the results in the light of the current literature. Patients and methods: We report the symptomatic vascular complications in 17 of 7376 patients undergoing diagnostic or therapeutic catheterisation between May 2000 and March 2003 at the University Hospital Basel. Results: Most patients presented with ischaemic symptoms, arterial stenoses or occlusions and thrombotic lesions (n = 14), whereas pseudoaneurysms were extremely rare (n = 3). Most patients with ischaemic lesions underwent vascular surgery and all patients with a pseudoaneurysm were successfully treated by ultrasound-guided compression. Conclusions: Severe vascular complications after Angio-Seal® are rare, consistent with the current literature. There may be a shift from pseudoaneurysms to ischaemic lesions.


2010 ◽  
Vol 40 (6) ◽  
pp. 34-35
Author(s):  
BRUCE JANCIN
Keyword(s):  

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