-
Tytuł:
-
Comparison of endoscopic evacuation, stereotactic aspiration, and craniotomy for treatment of basal ganglia hemorrhage.
-
Autorzy:
-
Guo W; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Liu H; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Tan Z; Department of Health Statistics, Fourth Military Medical University, Xi'an, China.
Zhang X; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Gao J; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Zhang L; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Guo H; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Bai H; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Cui W; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Liu X; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Wu X; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Luo J; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Qu Y; Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
-
Źródło:
-
Journal of neurointerventional surgery [J Neurointerv Surg] 2020 Jan; Vol. 12 (1), pp. 55-61. Date of Electronic Publication: 2019 Jul 12.
-
Typ publikacji:
-
Comparative Study; Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Original Publication: London : BMJ Publishing Group, c2009-
-
MeSH Terms:
-
Stereotaxic Techniques*/mortality
Basal Ganglia Hemorrhage/*diagnostic imaging
Basal Ganglia Hemorrhage/*surgery
Craniotomy/*methods
Neuroendoscopy/*methods
Paracentesis/*methods
Adult ; Aged ; Basal Ganglia Hemorrhage/mortality ; Cohort Studies ; Craniotomy/mortality ; Female ; Humans ; Imaging, Three-Dimensional/methods ; Imaging, Three-Dimensional/mortality ; Male ; Middle Aged ; Neuroendoscopy/mortality ; Paracentesis/mortality ; Retrospective Studies ; Treatment Outcome
-
References:
-
Lancet. 2013 Aug 3;382(9890):397-408. (PMID: 23726393)
J Neurointerv Surg. 2018 Aug;10(8):771-776. (PMID: 29572265)
Lancet. 2009 May 9;373(9675):1632-44. (PMID: 19427958)
Stroke. 1993 Jul;24(7):987-93. (PMID: 8322400)
Stroke. 2015 Jul;46(7):2032-60. (PMID: 26022637)
Circulation. 2017 Feb 21;135(8):759-771. (PMID: 28052979)
J Neurosurg. 2018 Feb;128(2):553-559. (PMID: 28387618)
Lancet Neurol. 2006 Jan;5(1):53-63. (PMID: 16361023)
Neuropsychiatr Dis Treat. 2017 Jan 25;13:213-219. (PMID: 28182164)
Neurosurgery. 2009 Oct;65(4):E826-7; discussion E827. (PMID: 19834365)
J Neurointerv Surg. 2018 Jan;10(1):66-74. (PMID: 28710083)
Stroke. 2012 Nov;43(11):2923-30. (PMID: 22989500)
J Neurointerv Surg. 2019 Jun;11(6):579-583. (PMID: 30617144)
Lancet Neurol. 2012 Aug;11(8):720-31. (PMID: 22698888)
Curr Cardiol Rep. 2018 Oct 11;20(12):132. (PMID: 30311010)
Stroke. 2016 May;47(5):1399-406. (PMID: 27048700)
Neurology. 2013 Jul 16;81(3):264-72. (PMID: 23858408)
Cerebrovasc Dis. 2016;42(3-4):155-69. (PMID: 27110940)
Lancet Glob Health. 2013 Nov;1(5):e259-81. (PMID: 25104492)
N Engl J Med. 2001 Sep 6;345(10):770. (PMID: 11547756)
J Neurosurg. 2017 Sep;127(3):537-542. (PMID: 27636179)
Lancet. 2005 Jan 29-Feb 4;365(9457):387-97. (PMID: 15680453)
Sci Rep. 2018 Mar 19;8(1):4819. (PMID: 29555930)
Curr Treat Options Neurol. 2018 Feb 3;20(1):1. (PMID: 29397452)
Neurocrit Care. 2017 Sep;27(Suppl 1):89-101. (PMID: 28913708)
-
Contributed Indexing:
-
Keywords: basal ganglia hemorrhage; craniotomy; minimally invasive surgical procedures; neuroendoscopy; retrospective studies; treatment outcome
-
Entry Date(s):
-
Date Created: 20190714 Date Completed: 20200317 Latest Revision: 20200317
-
Update Code:
-
20240105
-
PubMed Central ID:
-
PMC6996102
-
DOI:
-
10.1136/neurintsurg-2019-014962
-
PMID:
-
31300535
-
Background: The main surgical techniques for spontaneous basal ganglia hemorrhage include stereotactic aspiration, endoscopic aspiration, and craniotomy. However, credible evidence is still needed to validate the effect of these techniques.
Objective: To explore the long-term outcomes of the three surgical techniques in the treatment of spontaneous basal ganglia hemorrhage.
Methods: Five hundred and sixteen patients with spontaneous basal ganglia hemorrhage who received stereotactic aspiration, endoscopic aspiration, or craniotomy were reviewed retrospectively. Six-month mortality and the modified Rankin Scale score were the primary and secondary outcomes, respectively. A multivariate logistic regression model was used to assess the effects of different surgical techniques on patient outcomes.
Results: For the entire cohort, the 6-month mortality in the endoscopic aspiration group was significantly lower than that in the stereotactic aspiration group (odds ratio (OR) 4.280, 95% CI 2.186 to 8.380); the 6-month mortality in the endoscopic aspiration group was lower than that in the craniotomy group, but the difference was not significant (OR=1.930, 95% CI 0.835 to 4.465). A further subgroup analysis was stratified by hematoma volume. The mortality in the endoscopic aspiration group was significantly lower than in the stereotactic aspiration group in the medium (≥40-<80 mL) (OR=2.438, 95% CI 1.101 to 5.402) and large hematoma subgroup (≥80 mL) (OR=66.532, 95% CI 6.345 to 697.675). Compared with the endoscopic aspiration group, a trend towards increased mortality was observed in the large hematoma subgroup of the craniotomy group (OR=8.721, 95% CI 0.933 to 81.551).
Conclusion: Endoscopic aspiration can decrease the 6-month mortality of spontaneous basal ganglia hemorrhage, especially in patients with a hematoma volume ≥40 mL.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
