Irrigation can cause prolonged intracranial pressure elevations during endoscopic treatment of intraventricular haematomas*<sup>1</sup>

Trnovec, Svorad; Halatsch, Marc‐Eric; Putz, Monika; Behnke‐Mursch, Julianne; Mursch, Kay

doi:10.3109/02688697.2011.619596

“…One concern cites that saline infusion into the hematoma cavity may cause increased intracranial pressure (ICP) or, at least, increased intracavity pressure, which may have the potential to injure viable perihematomal brain tissue. The accompanying unfavorable consequences of elevated ICP have been reported previously in the neuroendoscopic treatment of isolated IVH 19. The SCUBA technique allays concerns about this possibility by removing the majority of the hematoma and associated mass effect prior to activating any high-flow irrigation.…”

Section: Discussionmentioning

confidence: 99%

The Stereotactic Intracerebral Hemorrhage Underwater Blood Aspiration (SCUBA) technique for minimally invasive endoscopic intracerebral hemorrhage evacuation

Kellner

¹

,

Chartrain

²

,

Nistal

³

et al. 2018

J NeuroIntervent Surg

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The SCUBA technique provides surgeons with a defined strategy for true endoscopic hematoma evacuation. In particular, the fluid-filled cavity in SCUBA Phase 2 has the potential to provide several advantages over the traditional air-filled strategy, including clear identification and cauterization of bleeding vessels and visualization of residual clot burden. Further investigation is necessary to compare this technique to others that are currently used.

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“…Unfavorable outcomes have been reported when irrigation during an endoscopic intraventricular hematoma evacuation leads to increased intracranial pressure 16 . The SCUBA procedure avoids this by evacuating the hematoma in Phase 1, which decreases pressure within the cavity, and subsequently irrigating in Phase 2.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Pan

¹

,

Chartrain

²

,

Scaggiante

³

et al. 2021

JoVE

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Intracerebral hemorrhage (ICH) is a subtype of stroke with high mortality and poor functional outcomes, largely because there are no evidence-based treatment options for this devastating disease process. In the past decade, a number of minimally invasive surgeries have emerged to address this issue, one of which is endoscopic evacuation. Stereotactic ICH Underwater Blood Aspiration (SCUBA) is a novel endoscopic evacuation technique performed in a fluid-filled cavity using an aspiration system to provide an additional degree of freedom during the procedure. The SCUBA procedure utilizes a suction device, endoscope, and sheath and is divided into two phases. The first phase involves maximal aspiration and minimal irrigation to decrease clot burden. The second phase involves increasing irrigation for visibility, decreasing aspiration strength for targeted aspiration without disturbing the cavity wall, and cauterizing any bleeding vessels. Using the endoscope and aspiration wand, this technique aims to maximize hematoma evacuation while minimizing collateral damage to the surrounding brain. Advantages of the SCUBA technique include the use of a low-profile endoscopic sheath minimizing brain disruption and improved visualization with a fluid-filled cavity rather than an air-filled one.

show abstract

“…Unfavorable outcomes have been reported when irrigation during an endoscopic intraventricular hematoma evacuation leads to increased intracranial pressure 16 . The SCUBA procedure avoids this by evacuating the hematoma in Phase 1, which decreases pressure within the cavity, and subsequently irrigating in Phase 2.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Pan

¹

,

Chartrain

²

,

Scaggiante

³

et al. 2021

JoVE

0

View full text Add to dashboard Cite

Intracerebral hemorrhage (ICH) is a subtype of stroke with high mortality and poor functional outcomes, largely because there are no evidence-based treatment options for this devastating disease process. In the past decade, a number of minimally invasive surgeries have emerged to address this issue, one of which is endoscopic evacuation. Stereotactic ICH Underwater Blood Aspiration (SCUBA) is a novel endoscopic evacuation technique performed in a fluid-filled cavity using an aspiration system to provide an additional degree of freedom during the procedure. The SCUBA procedure utilizes a suction device, endoscope, and sheath and is divided into two phases. The first phase involves maximal aspiration and minimal irrigation to decrease clot burden. The second phase involves increasing irrigation for visibility, decreasing aspiration strength for targeted aspiration without disturbing the cavity wall, and cauterizing any bleeding vessels. Using the endoscope and aspiration wand, this technique aims to maximize hematoma evacuation while minimizing collateral damage to the surrounding brain. Advantages of the SCUBA technique include the use of a low-profile endoscopic sheath minimizing brain disruption and improved visualization with a fluid-filled cavity rather than an air-filled one.

show abstract

Irrigation can cause prolonged intracranial pressure elevations during endoscopic treatment of intraventricular haematomas*¹

Abstract: Endoscopic procedures within the cerebral ventricles are considered relatively uncomplicated procedures. However, patients undergoing treatment of IVH may suffer prolonged elevated ICP which may be critical because of their age and co-morbidity.

Cited by 9 publications

References 15 publications

The Stereotactic Intracerebral Hemorrhage Underwater Blood Aspiration (SCUBA) technique for minimally invasive endoscopic intracerebral hemorrhage evacuation

The Stereotactic Intracerebral Hemorrhage Underwater Blood Aspiration (SCUBA) technique for minimally invasive endoscopic intracerebral hemorrhage evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

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Irrigation can cause prolonged intracranial pressure elevations during endoscopic treatment of intraventricular haematomas*1

Abstract: Endoscopic procedures within the cerebral ventricles are considered relatively uncomplicated procedures. However, patients undergoing treatment of IVH may suffer prolonged elevated ICP which may be critical because of their age and co-morbidity.

Cited by 9 publications

References 15 publications

The Stereotactic Intracerebral Hemorrhage Underwater Blood Aspiration (SCUBA) technique for minimally invasive endoscopic intracerebral hemorrhage evacuation

The Stereotactic Intracerebral Hemorrhage Underwater Blood Aspiration (SCUBA) technique for minimally invasive endoscopic intracerebral hemorrhage evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

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Irrigation can cause prolonged intracranial pressure elevations during endoscopic treatment of intraventricular haematomas*¹