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Condition: Hemorrhagic Stroke
Procedure: Minimally Invasive Surgery

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Total 48 results found since Jan 2013.

A Cost Utility Analysis of Minimally Invasive Surgery with Thrombolysis Compared to Standard Medical Treatment in Spontaneous Intracerebral Haemorrhagic Stroke
Standard medical management of spontaneous intracerebral haemorrhage (ICH) and surgical hematoma evacuation starkly differ, and whilst landmark randomised control trials report no clinical benefit of early surgical evacuation compared with medical treatment in supratentorial ICH, minimally invasive surgery (MIS) with thrombolysis has been neglected within these studies. However, recent technological advancements in MIS have renewed interest in the surgical treatment of ICH. Several economic evaluations have focused on the benefits of MIS in ischaemic stroke management, but no economic evaluations have yet been performed co...
Source: Journal of Stroke and Cerebrovascular Diseases - June 22, 2021 Category: Neurology Authors: Robert Vardanyan, Arwa Hagana, Haseeb Iqbal, Arian Arjomandi Rad, Mohammad Mahmud, Kajal Ruparell, Nuha Rabee, Javad Khan, William Poole, Raad A Shakir Source Type: research

Intracerebral Hemorrhage: The 'Other' Stroke
J Mocco, MD, MS Professor and Vice Chair for Education Director, Cerebrovascular Center Residency Program Director Department of Neurological Surgery Mount Sinai Health System Intracerebral Hemorrhage: The 'Other' Stroke A recent patient of mine, 48-year-old "Joe" (not his real name), was eating with his family at an Italian restaurant. Suddenly, he stood up, cursed, and collapsed. They brought him to the hospital, and he could not talk, move, or do anything we asked him to do. It turned out that Joe had suffered the second-most common, but deadliest, form of stroke: intracerebral hemorrhage. When people hear "stroke,...
Source: Healthy Living - The Huffington Post - November 7, 2016 Category: Consumer Health News Source Type: news

Quantitative Intracerebral Hemorrhage Localization Brief Reports
Conclusions— Objective measures of ICH location and engagement using advanced computed tomographic imaging processing provide finer, objective, and more quantitative anatomic information than that provided by human readers. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00224770.
Source: Stroke - October 26, 2015 Category: Neurology Authors: Muschelli, J., Ullman, N. L., Sweeney, E. M., Eloyan, A., Martin, N., Vespa, P., Hanley, D. F., Crainiceanu, C. M. Tags: Acute Cerebral Hemorrhage, Computerized tomography and Magnetic Resonance Imaging, Intracerebral Hemorrhage Brief Reports Source Type: research

What is the Price of the Potential for a Meaningful Recovery following Intracerebral Hemorrhage?
In this issue of the Journal of Stroke and Cerebrovascular Diseases, Vardanyan and colleagues report on the cost-utility of minimally invasive surgery (MIS) with thrombolysis for spontaneous intracerebral hemorrhage (ICH) from the perspective of the United Kingdom (UK) National Health Service (NHS)1 using data from the Minimally Invasive Surgery Plus Alteplase in Intracerebral Hemorrhage Evacuation (MISTIE III) trial2 and the UK Sentinel Stroke National Audit Programme (SSNAP).3 The economic evaluation revealed that the incremental cost-effectiveness ratio for MIS with thrombolysis fell significantly above the UK's Nationa...
Source: Journal of Stroke and Cerebrovascular Diseases - July 27, 2021 Category: Neurology Authors: Lourdes R. Carhuapoma, Avni Kapadia, Henry A. Glick, Daniel F. Hanley Source Type: research

Clot evacuation reduces perihematomal edema in hemorrhagic stroke
Minimally invasive surgery combined with recombinant tissue-type plasminogen activator significantly reduces perihematomal edema in patients with intracerebral hemorrhage.
Source: MedWire News - Stroke - February 18, 2013 Category: Neurology Source Type: news

Minimally Invasive Surgery for Intracerebral and Intraventricular Hemorrhage: Rationale, Review of Existing Data and Emerging Technologies Topical Reviews
Source: Stroke - April 24, 2016 Category: Neurology Authors: Fiorella, D., Arthur, A., Bain, M., Mocco, J. Tags: Cerebrovascular Disease/Stroke, Cerebrovascular Procedures, Intracranial Hemorrhage Topical Reviews Source Type: research

Draining blood from bleeding stroke may prevent death
(American Heart Association) A minimally invasive surgery combining the use of a clot-busting drug and a catheter to drain blood from the brain of hemorrhagic stroke patients reduced swelling and improved patients' prognoses, according to preliminary research.
Source: EurekAlert! - Medicine and Health - January 30, 2019 Category: International Medicine & Public Health Source Type: news

Removing more blood via minimally invasive surgery more likely to improve hemorrhagic stroke recover
(American Heart Association) The greater the volume of blood removed from the brain via minimally invasive surgery after a hemorrhagic stroke the greater the odds of better functional recovery.
Source: EurekAlert! - Medicine and Health - February 7, 2019 Category: International Medicine & Public Health Source Type: news

Incidence of Ischemic strokes in the Minimally Invasive Surgery plus rt-PA for Intracerebral Hemorrhage Evacuation (MISTIE II) Phase II Clinical Trial (P3.100)
Conclusions The incidence of ischemic strokes in the MISTIE II trial was low suggesting that the procedure was not likely a contributing factor. Mass effect, initial blood pressure elevation and significant decrease in blood pressure in the acute phase may be predisposing factors.Disclosure: Dr. Rivera Lara has nothing to disclose. Dr. Nekoovaght-Tak has nothing to disclose. Dr. Dlugash has nothing to disclose. Dr. McBee has nothing to disclose. Dr. Zuccarello has nothing to disclose. Dr. Hanley has received research support from the FDA, Cathflo, and Genentech. Dr. Ziai has received personal compensation in an editorial c...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Rivera Lara, L., Nekoovaght-Tak, S., Dlugash, R., McBee, N., Zuccarello, M., Hanley, D., Ziai, W. Tags: Cerebrovascular Disease and Interventional Neurology: Intracerebral Hemorrhage Source Type: research

O-027 The INVEST Trial: A Randomized, Controlled Trial to Investigate the Safety and Efficacy of Image Guided Minimally Invasive Endoscopic Surgery with Apollo vs Best Medical Management for Supratentorial Intracerebral Hemorrhage
ConclusionThe INVEST and EPOCH studies are designed to provide an assessment of the safety and efficacy of Apollo MIS for the treatment of spontaneous supratentorial ICH. The parallel structure of the two trials presents a potential for a pooled statistical analysis provided the data are sufficiently homogenous.DisclosuresD. Fiorella: 1; C; Sequent Medical, Penumbra, Microvention, Seimens. 2; C; Sequent, Microvention, Medtronic, Penumbra, Codman. A. Arthur: 1; C; Penumbra. 2; C; Penumbra, Stryker. J. Mocco: 1; C; Penumbra. 2; C; Lazurus Effect, Reverse Medical, Pulsar, Edge Therapeutics, Medina Medical. 4; C; Blockade Medical, Lazurus Effect.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Fiorella, D., Arthur, A., Mocco, J. Tags: Oral abstracts Source Type: research

Minimally Invasive Surgery for Spontaneous Intracerebral Hematoma. Real-Life Implementation Model and Economic Estimation
ConclusionAround 12–43% of patients admitted to hospital with spontaneous hemorrhagic stroke could be potential candidates to MIS early evacuation of the cerebral hematoma. In our real-life implementation model, the cost-utility analysis favored the neuroendoscopic evacuation over the catheter aspiration technique. Further studies are advisable as new data from the ongoing randomized trials becomes available.
Source: Frontiers in Neurology - May 2, 2022 Category: Neurology Source Type: research

A Neurosurgical Stratagem: Doing the Same with Less?
We have read and much appreciated the article by Ma et  al.,1 entitled “Endoscopic Evacuation of Basal Ganglia Hematoma: Surgical Technique, Outcome and Learning Curve,” recently published in WORLD NEUROSURGERY, in which the authors describe their experience with evacuation of basal ganglia hematomas through minimally invasive surgery by an endosco pic technique. Intracerebral hemorrhage (ICH) is the most common type of stroke, accounting for up to 15% of all stroke cases. ICH incidence has increased with advanced age, and its prognosis remains poor.
Source: World Neurosurgery - August 24, 2017 Category: Neurosurgery Authors: Nicola Alberio, Rosario Maugeri, Roberto Giuseppe Giammalva, Domenico Gerardo Iacopino, Salvatore Cicero, Natale Francaviglia, Roberto Battaglia Tags: Letter to the Editor Source Type: research

Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): a randomised, controlled, open-label, blinded endpoint phase 3 trial
This study is registered with ClinicalTrials.gov, number NCT01827046.FindingsBetween Dec 30, 2013, and Aug 15, 2017, 506 patients were randomly allocated: 255 (50%) to the MISTIE group and 251 (50%) to standard medical care. 499 patients (n=250 in the MISTIE group; n=249 in the standard medical care group) received treatment and were included in the mITT analysis set. The mITT primary adjusted efficacy analysis estimated that 45% of patients in the MISTIE group and 41% patients in the standard medical care group had achieved an mRS score of 0–3 at 365 days (adjusted risk difference 4% [95% CI −4 to 12]; p=0·33). Sensi...
Source: The Lancet - February 8, 2019 Category: General Medicine Source Type: research

Early Prophylactic Hypothermia for Patients With Severe Traumatic Injury: Premature to Close the Case
This study demonstrates that there is no role for the initiation of hypothermia during the acute phase of TBI (1, 2). However, it would be damaging to abandon the concept prematurely. Inflammation Also Paves the Way to Tissue Repair As soon as trauma occurs, the inflammatory cascade begins to take place. The deleterious role of inflammation in the secondary injury response is well-documented, hence the rationale to attempt early prophylactic hypothermia in TBI. However, inflammation also initiates tissue repair and regeneration (3–6). We now know that the secondary injury response accompanies the regenerating and...
Source: Frontiers in Neurology - April 8, 2019 Category: Neurology Source Type: research