Evidence map›Paper›PMID 36918432›Full record

ArticleActa neurochirurgica2023

Butterfly needle tap and suction (BTS) technique: a treatment for recurrent chronic subdural hematoma after burr hole craniostomy.

Shun Yamamoto, Yoshitaka Nagashima, Hideki Maki, Yusuke Nishimura, Yoshio Araki, Masahiro Nishihori, Tomoyuki Noda, Tasuku Imai, Teppei Kawabata, Masahiro Ueno and 2 more

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Article in Acta neurochirurgica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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

12 authors at 3 institutions in 1 country.

Shun YamamotoDepartment of Neurosurgery, Ogaki Municipal Hospital, Ogaki, Japan.ORCID 0000-0002-0895-5667
Yoshitaka NagashimaDepartment of Neurosurgery, Nagoya University School of Medicine, Nagoya, Japan. y-nagashima@med.nagoya-u.ac.jp.ORCID 0000-0001-9346-1663
Hideki MakiDepartment of Neurosurgery, Ogaki Municipal Hospital, Ogaki, Japan.
Yusuke NishimuraDepartment of Neurosurgery, Nagoya University School of Medicine, Nagoya, Japan.
Yoshio ArakiDepartment of Neurosurgery, Nagoya University School of Medicine, Nagoya, Japan.
Masahiro NishihoriDepartment of Neurosurgery, Nagoya University School of Medicine, Nagoya, Japan.
Tomoyuki NodaDepartment of Neurosurgery, Ogaki Municipal Hospital, Ogaki, Japan.
Tasuku ImaiDepartment of Neurosurgery, Ogaki Municipal Hospital, Ogaki, Japan.
Teppei KawabataDepartment of Neurosurgery, Ogaki Municipal Hospital, Ogaki, Japan.
Masahiro UenoDepartment of Neurosurgery, Ogaki Municipal Hospital, Ogaki, Japan.
Yasumasa NishidaDepartment of Neurosurgery, Ogaki Municipal Hospital, Ogaki, Japan.
Ryuta SaitoDepartment of Neurosurgery, Nagoya University School of Medicine, Nagoya, Japan.
Ogaki Municipal Hospital · JPNagoya University · JPJapanese Red Cross Nagoya Daini Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we propose a butterfly needle tap and suction (BTS) technique for recurrent chronic subdural hematoma (CSDH) as an alternative to reoperation with burr hole craniostomy (BHC) and investigate its efficacy and safety. The procedure involves percutaneous puncture through the burr hole created during the previous surgery and subsequent hematoma evacuation using a butterfly needle.

methodsThis retrospective study included patients who underwent BTS for CSDH at Ogaki Municipal Hospital between January 2017 and December 2020. The follow-up CT scans were reviewed after several weeks. We evaluated the number of percutaneous punctures required to resolve CSDH during the BTS technique, the volume of the evacuated hematoma, and procedure-related complications.

resultsTwenty-six patients were enrolled in the study, 21 of whom achieved resolution of the hematoma using punctures with the BTS technique alone (mean, 2.2 ± 1.5). Five patients had a recurrence of hematoma after one or more punctures during the BTS technique, and they underwent reoperation with BHC according to the surgeon's decision or patient requests. Among the 55 punctures, 43.0 ± 16.0 ml of hematoma was evacuated per puncture. The evacuated hematoma volume was 41.9 ± 16.4 ml in the BTS-alone group and 49.4 ± 12.9 ml in the reoperation group, with no significant difference (p = 0.25). Three patients complained of a headache during the puncture procedure, and no other complications, including intracranial hemorrhage or infection, were reported therein.

conclusionsThe BTS technique is an effective alternative to reoperation with BHC.

Indexed as

Hematoma, Subdural, ChronicCraniotomyDrainageHumansRecurrenceRetrospective StudiesSuctionTreatment OutcomeTrephiningBurr hole craniostomyButterfly needleChronic subdural hematomaPercutaneous punctureTwist drill craniostomy

Identifiers

PMID36918432
OpenAlexW4324311345

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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.