Evidence map›Paper›PMID 24994826›Full record

ArticleAJNR. American journal of neuroradiology

Treatment of supratentorial spontaneous intracerebral hemorrhage using image-guided minimally invasive surgery: Initial experiences of a flat detector CT-based puncture planning and navigation system in the angiographic suite.

Z Yang, B Hong, Z Jia, J Chen, J Ge, J Han, J Beilner, Y Zhang, Y Fang, J Liu

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 27 citations in OpenAlex.

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  8. Laser-assisted flat-detector CT-guided intracranial access.International journal of computer assisted radiology and surgery · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Z YangFrom the Department of Neurosurgery (Z.Y., B.H., Z.J., J.C., Y.Z., Y.F., J.L.), Changhai Hospital, Second Military Medical University, Shanghai, China.
B HongFrom the Department of Neurosurgery (Z.Y., B.H., Z.J., J.C., Y.Z., Y.F., J.L.), Changhai Hospital, Second Military Medical University, Shanghai, China.
Z JiaFrom the Department of Neurosurgery (Z.Y., B.H., Z.J., J.C., Y.Z., Y.F., J.L.), Changhai Hospital, Second Military Medical University, Shanghai, China.
J ChenFrom the Department of Neurosurgery (Z.Y., B.H., Z.J., J.C., Y.Z., Y.F., J.L.), Changhai Hospital, Second Military Medical University, Shanghai, China.
J GeSiemens Ltd. China (J.G., J.H., J.B.), Healthcare Sector, Angiography & Interventional X-Ray Systems, Shanghai, China.
J HanSiemens Ltd. China (J.G., J.H., J.B.), Healthcare Sector, Angiography & Interventional X-Ray Systems, Shanghai, China.
J BeilnerSiemens Ltd. China (J.G., J.H., J.B.), Healthcare Sector, Angiography & Interventional X-Ray Systems, Shanghai, China.
Y ZhangFrom the Department of Neurosurgery (Z.Y., B.H., Z.J., J.C., Y.Z., Y.F., J.L.), Changhai Hospital, Second Military Medical University, Shanghai, China.
Y FangFrom the Department of Neurosurgery (Z.Y., B.H., Z.J., J.C., Y.Z., Y.F., J.L.), Changhai Hospital, Second Military Medical University, Shanghai, China.
J LiuFrom the Department of Neurosurgery (Z.Y., B.H., Z.J., J.C., Y.Z., Y.F., J.L.), Changhai Hospital, Second Military Medical University, Shanghai, China renzhhuang@hotmail.com.
Second Military Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe intracerebral hemorrhage drainage through minimally invasive approach is emerging as an alternative for traditional craniotomy, due to its improved survival rate and reduced complication rate. In this study, we investigated the feasibility and safety of a flat detector CT-based puncture planning and navigation system for minimally invasive hematoma drainage on patients with intracerebral hemorrhage. MATERIALS AND

methodsThe minimally invasive hematoma drainage was performed on 21 hypertensive patients with intracerebral hemorrhage in the angiographic suite with the guidance of a flat detector CT-based puncture planning and navigation system. This system is integrated in the angiographic machine, and was used for 1) planning the needle path based on a preprocedural flat detector CT scan, 2) advancing the catheter with real-time fluoroscopic guidance, and 3) confirming the procedure outcome based on an immediate postprocedural flat detector CT. The surgery efficiency, accuracy, and the treatment outcome were measured and compared with the published data.

resultsAll procedures were successfully completed with the catheter placed 4 ± 1 mm from the planned position. The average surgery time was 40 ± 7 minutes. The volume of the hematoma was reduced to 28 ± 4% of the original volume. The Glasgow Coma Scale score was significantly improved from 10 ± 1 at the admission to 14 ± 1 at the discharge. The Extended Glasgow Coma Scale score also improved from 5 ± 1 at the discharge to 6 ± 1 at the 6-month follow-up. No major complication, rebleeding, and mortality were observed in this study.

conclusionsThis flat detector CT-based needle guidance system provided a feasible, convenient, and safe way to perform the puncture and drainage of brain hematoma in the angiographic suite.

Indexed as

AgedCerebral AngiographyCerebral HemorrhageDrainageFemaleGlasgow Coma ScaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresNeuronavigationSurgery, Computer-AssistedTomography, X-Ray ComputedTreatment Outcome

Identifiers

PMID24994826
PMCPMC7965169
OpenAlexW2133020654

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.