Evidence map›Paper›PMID 35422949›Full record

ArticleAmerican journal of translational research2022

New approach of minimally invasive evacuation for spontaneous supratentorial intracerebral hemorrhage.

Qiang Cai, Wenju Wang, Zhiyang Li, Ping Song, Long Zhou, Li Cheng, Hangyu Wei, Pan Lei, Qianxue Chen, Zhaohui Yang

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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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.

Qiang CaiDepartment of Neurosurgery, Renmin Hospital of Wuhan University Hubei Province, China.
Wenju WangDepartment of Neurosurgery, Renmin Hospital of Wuhan University Hubei Province, China.
Zhiyang LiDepartment of Neurosurgery, Renmin Hospital of Wuhan University Hubei Province, China.
Ping SongDepartment of Neurosurgery, Renmin Hospital of Wuhan University Hubei Province, China.
Long ZhouDepartment of Neurosurgery, Renmin Hospital of Wuhan University Hubei Province, China.
Li ChengDepartment of Critical Care Medicine, Eastern Campus, Renmin Hospital of Wuhan University Hubei Province, China.
Hangyu WeiDepartment of Neurosurgery, Renmin Hospital of Wuhan University Hubei Province, China.
Pan LeiDepartment of Neurosurgery, Renmin Hospital of Wuhan University Hubei Province, China.
Qianxue ChenDepartment of Neurosurgery, Renmin Hospital of Wuhan University Hubei Province, China.
Zhaohui YangDepartment of Radiology, Renmin Hospital of Wuhan University Hubei Province, China.
Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe developed a new clinical surgery approach termed the "two-in-one technique" that combines neuroendoscopy with stereotactic aspiration for spontaneous supratentorial intracerebral hemorrhage (SSICH). This study was designed to explore its feasibility, safety, and effectiveness.

methodsStarting in December 2018, 40 patients (Group A) were prospectively studied after undergoing this new technique. The time to access the hematoma, average hematoma evacuation rate, and Glasgow Coma Scale (GCS) improvement at discharge were analyzed. Two patients had increased intracranial pressure (ICP) caused by the transparent plastic sheath and two other patients experienced ICP decreases following the two-in-one technique. The control groups included 42 patients treated by stereotactic aspiration (Group B) and 40 cases treated by neuroendoscopy (Group C).

resultsAll procedures were successfully completed. The average access time to hematoma was 4.675 minutes in Group A, which was much less than in Group C (10.20 minutes). The average hematoma evacuation rate was 91.91% which was much higher than Group B (44.2%), and the average GCS improvement at discharge was 3.82. The ICP increased sharply when the transparent plastic sheath was inserted, while ICP decreased significantly when using the new technique.

conclusionsThe two-in-one technique can decrease ICP quickly and avoid transient ICP increases caused by transparent sheath insertion. This approach can also avoid the shortcomings of stereotactic aspiration and offers the advantages of neuroendoscopy. More importantly, it was effective and safe, making it a promising method for the surgical treatment of SSICH.

Indexed as

minimally invasive surgerySpontaneous supratentorial intracerebral hemorrhagetranscranial neuroendoscopic approach

Identifiers

PMID35422949
PMCPMC8991136
OpenAlexW4226461382

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.