Low-Cost, Accurate, Effective Treatment of Hypertensive Cerebral Hemorrhage With Three-Dimensional Printing Technology

Li, Ké; Ding, Xiangqian; Wang, Qingbo; Fan, Guanghui; Guo, Wei; Li, Chenglong; Meng, Long; Li, Zefu

doi:10.3389/fneur.2021.608403

Cited by 14 publications

(10 citation statements)

References 18 publications

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“…3D-printed technololg has been succeeded applied in medical fields such as intraoperative navigation [ 37 ]. Wang et al applied 3D printing navigation for puncture and drainage of PBH in 2020 and found that the actual puncture target was accurately positioned in the hematoma in 7 cases, and the effect was satisfactory.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…The common stereotactic methods included the use of frame technology, frameless technology, neuronavigation system, and surgical robot; those greatly improved the accuracy of puncture. 3D-printed technololg has been succeeded applied in medical fields such as intraoperative navigation [37]. Wang et al applied 3D printing navigation for puncture and drainage of PBH in 2020 and found that the actual puncture target was accurately positioned in the hematoma in 7 cases, and the effect was satisfactory.…”

Section: Minimally Invasive Surgery Takahama Et Al Have Firstlymentioning

confidence: 99%

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Management of Primary Brainstem Hemorrhage: A Review of Outcome Prediction, Surgical Treatment, and Animal Model

et al. 2022

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Primary brainstem hemorrhage (PBH) has the worst prognosis of all types of intracerebral hemorrhage. Currently, the management of PBH is controversial. Hematoma classification, scoring systems, and electrophysiological monitoring are critical for predicting the outcome of PBH. Surgery may be an effective treatment for PBH. Clinical studies have emphasized the importance of animal models for understanding the pathogenesis and pathological mechanisms of PBH. In this study, combined with recent studies, the outcome prediction, surgical treatment, and animal models of PBH were reviewed.

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Section: Surgical Treatmentmentioning

confidence: 99%

Section: Minimally Invasive Surgery Takahama Et Al Have Firstlymentioning

confidence: 99%

Management of Primary Brainstem Hemorrhage: A Review of Outcome Prediction, Surgical Treatment, and Animal Model

et al. 2022

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“…However, the success rate is low, and patients with unstable vital signs cannot tolerate this type of surgery. Craniotomy hematoma removal and puncture drainage are the primary surgical treatment used for brain stem bleeding [58,59]. erefore, hematoma puncture and drainage have been increasingly applied for the surgical treatment of intracerebral bleeding due to its minimally invasive nature, low cost, and short operation time [60], especially for patients experiencing severe brainstem hemorrhage.…”

Section: Intracranial Vascular Diseasementioning

confidence: 99%

Application of Three-Dimensional (3D) Printing in Neurosurgery

et al. 2022

Advances in Materials Science and Engineering

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Three-dimensional (3D) printing has been increasingly used in various fields of medicine, such as in auxiliary diagnosis and treatment, medical teaching, and regenerative medicine. Most operations performed by neurosurgeons and associated pathological examinations involve complex, microscopic anatomical structures that cannot be observed outside. 3D-printed models can reproduce anatomical structures, pathological tissues, and cells with high accuracy, enhancing our understanding of complex aspects of anatomy and pathology. They can also assist in preoperative planning and simulation, help in surgical or interventional surgery precision medicine, and improve the effectiveness of treatments. This review comprehensively summarizes and discusses its current application progress and problems, including treatments for common diseases (e.g., intracranial tumors, intracranial hemorrhage, intracranial aneurysms, skull repair, and neural prosthetics), clinical training, and preoperative plans. With its widespread applications, 3D printing as an innovative tool will provide new directions for developing imaging, strategies, and interventions in neurosurgical diseases.

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“…In another study enrolling 37 PPH patients, Hara et al found that 72% (13 of 18) of subjects undergoing CT-guided stereotaxic aspiration showed a dramatic improvement, whereas only 42% (8 of 19) of subjects treated conservatively did (11). The application of three-dimensional (3D) printing technology is achieving great success in various medical fields, including surgical intraoperative navigation (89,90). Recently, Wang et al successfully tested the application of a 3D-printed navigation template for puncture drainage in patients with severe brainstem hemorrhage (78).…”

Section: ) Stereotactic Hematoma Puncture and Drainagementioning

confidence: 99%

Primary Brainstem Hemorrhage: A Review of Prognostic Factors and Surgical Management

et al. 2021

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Primary brainstem hemorrhage (PBSH) is the most fatal subtype of intracerebral hemorrhage and is invariably associated with poor prognosis. Several prognostic factors are involved, of which the two most predominant and consistent are the initial level of consciousness and hemorrhage size. Other predictors, such as age, hyperthermia, and hydrocephalus, are generally not dependable indicators for making prognoses. Scoring systems have now been developed that can predict mortality and functional outcomes in patients suffering from PBSH, which can thus guide treatment decision-making. A novel grading scale, entitled “the new primary pontine hemorrhage (PPH) score,” represents the latest approach in scoring systems. In this system, patients with a score of 2–3 points appear to benefit from surgical management, although this claim requires further verification. The four main surgical options for the treatment of PBSH are craniotomy, stereotactic hematoma puncture and drainage, endoscopic hematoma removal, and external ventricular drainage. Nevertheless, the management of PBSH still primarily involves conservative treatment methods and surgery is generally not recommended, according to current practice. However, the ongoing clinical trial, entitled Safety and Efficacy of Surgical Treatment in Severe Primary Pontine Hemorrhage Evacuation (STIPE), should provide additional evidence to support the surgical treatment of PBSH. Therefore, we advocate the update of epidemiological data and re-evaluation of PBSH treatment in a contemporary context.

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Low-Cost, Accurate, Effective Treatment of Hypertensive Cerebral Hemorrhage With Three-Dimensional Printing Technology

Cited by 14 publications

References 18 publications

Management of Primary Brainstem Hemorrhage: A Review of Outcome Prediction, Surgical Treatment, and Animal Model

Management of Primary Brainstem Hemorrhage: A Review of Outcome Prediction, Surgical Treatment, and Animal Model

Application of Three-Dimensional (3D) Printing in Neurosurgery

Primary Brainstem Hemorrhage: A Review of Prognostic Factors and Surgical Management

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