Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김영구 | * |
dc.date.accessioned | 2020-01-14T16:30:11Z | - |
dc.date.available | 2020-01-14T16:30:11Z | - |
dc.date.issued | 2020 | * |
dc.identifier.issn | 1878-8750 | * |
dc.identifier.issn | 1878-8769 | * |
dc.identifier.other | OAK-26253 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/252385 | - |
dc.description.abstract | OBJECTIVE: Although external landmarks and trajectories for external ventricular drainage have been described for the freehand-guided method, no standard trajectory has been reported for deep-seated intracerebral hemorrhage (ICH). This article presents a freehand-guided catheter insertion technique for deep-seated spontaneous ICH using external landmarks. METHOD: Freehand-guided hematoma aspiration using Kocher's point and the external auditory canal as landmarks was performed in 32 patients with a diagnosis of spontaneous ICH in basal ganglia treated between May 2015 and July 2018 at the author's institute. RESULTS: In computed tomographic images, the mean actual to planned catheter tip distance was 16.1 +/- 7.7 mm, the mean right-left deviation was 4.6 +/- 5.2 mm, the mean anterior-posterior deviation was 11.1 +/- 1- 9.5 mm, and the mean superior-inferior deviation was 8.7 +/- 4.4 mm. On largest hematoma slice, the mean distance from hematoma centers to inserted catheter was 9.8 +/- 4.9 mm, and the mean horizontal and vertical distances were 4.0 +/- 4.7 mm and 7.7 +/- 4.8 mm, respectively. In 29 of the 32 patients, all the catheter holes contacted hematomas, whereas in the other 3 patients, 1 or more holes were in contact with brain parenchymal tissue. CONCLUSION: For patients with basal ganglia hemorrhage, freehand-guided catheter insertion and hematoma aspiration with subsequent fibrinolysis is a feasible procedure that shortens procedural times. The described technique could be used as an alternative method because it can be performed when the patient is in a critical state without additional equipment. | * |
dc.language | English | * |
dc.publisher | ELSEVIER SCIENCE INC | * |
dc.subject | Basal ganglia | * |
dc.subject | Catheter | * |
dc.subject | Fibrinolysis | * |
dc.subject | Intracerebral hemorrhage | * |
dc.title | Trajectories for Freehand-Guided Aspiration of Deep-Seated Spontaneous Intracerebral Hemorrhage | * |
dc.type | Article | * |
dc.relation.volume | 133 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | E551 | * |
dc.relation.lastpage | E557 | * |
dc.relation.journaltitle | WORLD NEUROSURGERY | * |
dc.identifier.doi | 10.1016/j.wneu.2019.09.095 | * |
dc.identifier.wosid | WOS:000503993700116 | * |
dc.identifier.scopusid | 2-s2.0-85073822991 | * |
dc.author.google | Seung, Won-Bae | * |
dc.author.google | Jeong, Ju Ho | * |
dc.author.google | Kim, Young Goo | * |
dc.contributor.scopusid | 김영구(57196171539) | * |
dc.date.modifydate | 20240426113329 | * |