Individualized CT image-guided free-hand catheter technique: A new and reliable method for minimally invasive evacuation of basal ganglia hematoma.
Individualized CT image-guided free-hand catheter technique: A new and reliable method for minimally invasive evacuation of basal ganglia hematoma.
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DOI：
10.3389/fnins.2022.947282
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发表时间：
2022
影响因子：
4.3
通讯作者：
Li, Shengjie
中科院分区：
文献类型：
--
作者：
Zhao, Zhijie;Xiao, Jinting;Wang, Jianjun;Meng, Xiangjing;Li, Cuiling;Xin, Tao;Li, Shengjie
关键词：
验证个体化CT图像引导下徒手导管技术（CTGFC）用于基底节血肿（BGH）清除的临床可靠性。2017年1月至2020年12月，入组了58例接受导管排空的BGH患者。手术采用CTGFC（n = 31）或立体定向导管技术（STC，n = 27）进行。作者评价了基线特征、手术相关指标、术后并发症、住院相关指标、短期和长期功能结局以及术后1年死亡率。CTGFC组所有患者均在非全身麻醉下进行BGH排空。CTGFC组的手术时间（p < 0.01）和手术费用（p < 0.05）明显短于STC组（p < 0.01）。两组患者术后留置尿管时间、残余血肿量、血肿清除率、术后并发症发生率、ICU住院时间、住院费用比较，差异无统计学意义（p > 0.05）。住院时间CTGFC组明显短于STC组（P < 0.01）。出院时短期功能结局评分无差异，包括格拉斯哥结局量表（GOS）评分、日常生活活动（ADL）评分和Karnofsky行为评分（KPS）。此外，两组术后1年GOS评分、ADL评分、KPS评分和死亡率也具有可比性。CTGFC辅助下的简易手术是一种安全可靠的BGH后送选择，尤其是在基层医疗机构和医疗资源有限的紧急情况下。
To validate the clinical reliability of an individualized CT image-guided‘ free-hand catheter technique (CTGFC) for basal ganglia hematoma (BGH) evacuation. From January 2017 to December 2020, 58 cases of patients with BGH who underwent catheter evacuation were enrolled. The surgery was conducted using the CTGFC (n = 31) or stereotactic catheter technique (STC, n = 27). The authors evaluated the baseline characteristics, operation-related indicators, postoperative complications, hospitalization-related indicators, short-term and long-term functional outcomes, and mortality rate 1 year after surgery. All patients underwent BGH evacuation under non-general anesthesia in the CTGFC group. The operative time (p < 0.01) and operation costs (p < 0.05) were significantly shorter in the CTGFC group than that in the STC group (p < 0.01). Comparable results were found in the catheter indwelling duration, residual hematoma volume, hematoma evacuation rate, incidence of postoperative complications, hospital ICU stay, and hospital costs between these two groups (p > 0.05). The duration of hospital stay was remarkably shorter in the CTGFC group than that in the STC group (p < 0.01). There were no differences in terms of the short-time functional outcomes score at discharge, including the Glasgow outcome scale (GOS) score, the activities of daily living (ADL) score, and the Karnofsky performance score (KPS). Moreover, comparable findings were also found in the 1-year postoperative GOS score, ADL score, KPS score, and mortality rate between these two groups. The simple CTGFC-assisted surgery was a safe and reliable option for BGH evacuation, especially in primary medical institutes and emergency situations with limited medical resources.
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影响因子：
8.3
作者：
Abou-Chebl A;Yeatts SD;Yan B;Cockroft K;Goyal M;Jovin T;Khatri P;Meyers P;Spilker J;Sugg R;Wartenberg KE;Tomsick T;Broderick J;Hill MD
通讯作者：
Hill MD
影响因子：
4.8
作者：
Kellner CP;Chartrain AG;Nistal DA;Scaggiante J;Hom D;Ghatan S;Bederson JB;Mocco J
通讯作者：
Mocco J
脑部出血疏散（Mistie）中微创手术加上高度的安全性和功效：一项随机，控制，开放标签，第2期试验。
影响因子：
48
作者：
Hanley, Daniel F.;Thompson, Richard E.;Muschelli, John;Rosenblum, Michael;McBee, Nichol;Lane, Karen;Bistran-Hall, Amanda J.;Mayo, Steven W.;Keyl, Penelope;Gandhi, Dheeraj;Morgan, Tim C.;Ullman, Natalie;Mould, W. Andrew;Carhuapoma, J. Ricardo;Kase, Carlos;Ziai, Wendy;Thompson, Carol B.;Yenokyan, Gayane;Huang, Emily;Broaddus, William C.;Graham, R. Scott;Aldrich, E. Francois;Dodd, Robert;Wijman, Cristanne;Caron, Jean-Louis;Huang, Judy;Camarata, Paul;Mendelow, A. David;Gregson, Barbara;Janis, Scott;Vespa, Paul;Martin, Neil;Awad, Issam;Zuccarello, Mario
通讯作者：
Zuccarello, Mario
影响因子：
168.9
作者：
Hanley, Daniel F.;Thompson, Richard E.;Awad, Issam A.
通讯作者：
Awad, Issam A.
影响因子：
158.5
作者：
Mayer, Stephan A.;Brun, Nikolai C.;Steiner, Thorsten
通讯作者：
Steiner, Thorsten