Flexible and Adjustable Transparent Sheath Endoport combine with "two-in-one" neuroendoscopic for minimally invasive evacuation of irregular intracerebral hemorrhage.

ABSTRACT:

Objective

Irregular intracerebral hematomas (ICH), characterized by complex shapes or multi-regional involvement, pose challenges for traditional neuroendoscopy due to rigid endoport limitations. We introduce a Flexible and Adjustable Transparent Sheath Endoport (FATSE) combined with a "two-in-one" neuroendoscopic technique (stereotactic aspiration plus endoscopic evacuation) to address these challenges.

Methods

In 54 patients with irregular ICH (multi-regional, intraventricular, or width-to-length ratio < 50% on CT), we evaluated the FATSE approach. Patients were stratified into four groups by hematoma location: basal ganglia, lobar, thalamic, or intraventricular.

Results

The mean hematoma evacuation rate was 95.0% (range 94.0-98.3%), with lobar/intraventricular hemo

SUBMITTER: Shafiq Z 

PROVIDER: S-EPMC12426478 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature