Academic Journal
Deep Intracerebral Hemorrhage Evacuation with Vycor Tubular Retractor: A Multicenter Case Series.
| Τίτλος: | Deep Intracerebral Hemorrhage Evacuation with Vycor Tubular Retractor: A Multicenter Case Series. |
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| Συγγραφείς: | Raelly-Muze L; Department of Neurosurgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA., Patterson TT; Department of Neurosurgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA., Diaz A; Department of Neurosurgery, University of Connecticut, Farmington, CT, USA., Bulsara K; Department of Neurosurgery, University of Connecticut, Farmington, CT, USA., Mascitelli J; Department of Neurosurgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA. |
| Πηγή: | Neurological research [Neurol Res] 2026 Aug; Vol. 48 (8), pp. 1108-1114. Date of Electronic Publication: 2025 Sep 18. |
| Τύπος έκδοσης: | Journal Article; Multicenter Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 7905298 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1743-1328 (Electronic) Linking ISSN: 01616412 NLM ISO Abbreviation: Neurol Res Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2016- : Abingdon : Taylor & Francis Original Publication: New York, Crane, Russak. |
| Ιατρικοί όροι (MeSH): | Cerebral Hemorrhage*/surgery , Neurosurgical Procedures*/methods , Neurosurgical Procedures*/instrumentation , Minimally Invasive Surgical Procedures*/methods , Minimally Invasive Surgical Procedures*/instrumentation, Humans ; Female ; Aged ; Male ; Middle Aged ; Adult ; Treatment Outcome ; Glasgow Coma Scale ; Length of Stay |
| Περίληψη: | Objectives: To share our experience with Vycor tubular retractor-assisted ICH evacuation, a minimally invasive para-fascicular technique, across two institutions. Methods: Between 2022 and 2024, 10 patients (7 males, 3 females) ages 26-78 years, underwent ICH evacuation using Vycor tubular retractors (Vycor Medical Inc, Boca Raton, FL) at two institutions. Baseline patient characteristics and treatment variables were collected from electronic medical records (EMR). Glasgow Coma Scale (GCS), NIH Stroke Scale (NIHSS), ICH, and Modified Rankin Scale (mRS) scores were recorded. We analyzed pre- and post-evacuation ICH volumes, time from symptom onset to surgery, surgery duration, and hospital length of stay (LOS). Results: All patients had a pre-morbid mRS score of 0. The average GCS was 9.1 and NIHSS was 16.8. The mean preoperative ICH volume was 42.6 mL, reduced to 11.1 mL postoperatively. Surgical duration averaged 117.8 min, and the mean time from symptom onset to surgery was 15.1 h. Postoperatively, ICH volume was reduced by 83%. There were no complications related to the technique but one patient had an episode of rebleeding requiring an open evacuation. Patients had an average ICU stay of 13 days and a total LOS of 17.3 days. The average mRS score at discharge was 4.9, increasing to 5.5 at 90 days. Discussion: Our findings demonstrate feasibility utilizing Vycor tubes for deep ICH evacuation with excellent radiographic results in a small cohort, although clinical outcomes remained poor. With the ENRICH trial primarily driven by results of cortical ICH evacuation, surgical evacuation of deep ICH remains an open question. |
| Contributed Indexing: | Keywords: Deep ICH; case series; intracerebral hemorrhage evacuation; tubular retractors; vascular neurosurgery |
| Entry Date(s): | Date Created: 20250918 Date Completed: 20260727 Latest Revision: 20260727 |
| Update Code: | 20260728 |
| DOI: | 10.1080/01616412.2025.2556960 |
| PMID: | 40967885 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1743-1328 |
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| DOI: | 10.1080/01616412.2025.2556960 |