ArticleActa neurochirurgica2019
Ultrasonic aspiration in neurosurgery: comparative analysis of complications and outcome for three commonly used models.
Article in Acta neurochirurgica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Overcoming First Rib Obstruction During Left Internal Thoracic Artery Harvesting in Minimally Invasive-Coronary Artery Bypass Grafting: A Practical Approach Using Ultrasonic Bone Sculpting.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- [Skull base surgery-where do we stand?]HNO · 2025Review
- Evaluation of magnetic resonance imaging and deep learning-based synthetic computed tomography for calcified intradural tumors - importance of domain-specific training and validation of synthetic imaging methods for clinical application.Acta neurochirurgica · 2025Observational
- High-frequency ultrasonic osteotomy in the treatment of intradural spinal tumors: matched cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Microsurgical resection of an intramedullary metastasis of rare histopathology-a case report and comprehensive literature review.Journal of spine surgery (Hong Kong) · 2025Article
- Optimized culturing yields high success rates and preserves molecular heterogeneity, enabling personalized screening for high-grade gliomas.NPJ precision oncology · 2025Article
- Safety and efficacy of ultrasonic bone scalpel compared with a high-speed drill in spinal surgery: our experience in sixty cases.International orthopaedics · 2025Article
- Article
- Review
- Manual Instruments as an Alternative to Drilling for Bony Exposure in Skull Base Surgery: Concept and Technique.Journal of neurological surgery. Part B, Skull base · 2024Review
- Toward intraoperative tissue classification: exploiting signal feedback from an ultrasonic aspirator for brain tissue differentiation.International journal of computer assisted radiology and surgery · 2022Article
- Acoustic Power Measurement and Thermal Bioeffect Evaluation of Therapeutic Langevin Transducers.Sensors (Basel, Switzerland) · 2022Article
- Neurosurgery outcomes and complications in a monocentric 7-year patient registry.Brain & spine · 2022Article
- Intraoperative risk factors for peritumoral infarctions following glioma surgery.Brain & spine · 2022Article
- FFPE samples from cavitational ultrasonic surgical aspirates are suitable for RNA profiling of gliomas.PloS one · 2021Article
- Article
- Direct Ultrasonic Aspiration for Orbito-Temporal Neurofibromas.Case reports in ophthalmologyArticle
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Authors and funding
5 authors.
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Abstract
introductionUltrasonic aspiration (UA) devices are commonly used for resecting intracranial tumors, as they allow for internal debulking of large tumors, hereby avoiding damage to adjacent brain tissue during the dissection. Little is known about their comparative safety profiles. METHODS AND MATERIALS: We analyzed data from a prospective patient registry. Procedures using one of the following UA models were included: Integra® CUSA, Söring®, and Stryker® Sonopet. The primary endpoint was morbidity at discharge, defined as significant worsening on the Karnofsky Performance Scale. Secondary endpoints included morbidity and mortality until 3 months postoperative (M3), occurrence, type, and etiology of complications.
resultsOf n = 1028 procedures, the CUSA was used in n = 354 (34.4 %), the Söring in n = 461 (44.8 %), and the Sonopet in n = 213 (20.7 %). There was some heterogeneity of study groups. In multivariable analysis, patients in the Söring (adjusted odds ratio (aOR) 1.29; 95 % confidence interval (CI), 0.80-2.08; p = 0.299), and Sonopet group (aOR, 0.86; 95 % CI, 0.46-1.61; p = 0.645) were as likely as patients in the CUSA group to experience discharge morbidity. At M3, patients in the Söring (aOR, 1.20; 95 % CI, 0.78-1.86; p = 0.415) and Sonopet group (aOR, 0.53; 95 % CI, 0.26-1.08; p = 0.080) were as likely as patients in the CUSA group to experience morbidity. There were also no differences for M3 morbidity in subgroup analyses for gliomas, meningiomas, and metastases. The grade (p = 0.608) and etiology (p = 0.849) of postoperative complications were similar.
conclusionsNeurosurgeons select UA types with regard to certain case-specific characteristics. The safety profiles of three commonly used UA types appear mostly similar.
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