Evidence map›Paper›PMID 42552275›Full record

SynthesisNeurosurgical review2026

Endoscopic versus catheter-based minimally invasive evacuation of spontaneous supratentorial intracerebral hemorrhage: a systematic review and meta-analysis.

Shaan Patel, Shiva A Nischal, Kush M Kale, Angelette Mendonca, Keenan Piper, Pious D Patel, Michael R Gooch, Stavropoula I Tjoumakaris, Pascal M Jabbour

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Neurosurgical review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Shaan Patel *Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.
Shiva A Nischal *Department of Physiology, Anatomy & Genetics, Medical Sciences Division, University of Oxford, Oxford, OX1 3PT, UK. shiva.nischal@dpag.ox.ac.uk.
Kush M KaleDepartment of Physiology, Anatomy & Genetics, Medical Sciences Division, University of Oxford, Oxford, OX1 3PT, UK.
Angelette MendoncaSchool of Clinical Medicine, University of Cambridge, Cambridge, CB2 0SP, UK.
Keenan PiperDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.
Pious D PatelDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.
Michael R GoochDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.
Stavropoula I TjoumakarisDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.
Pascal M JabbourDepartment of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive surgery (MIS) for spontaneous supratentorial intracerebral hemorrhage (sICH) includes endoscopic evacuation and catheter-based evacuation (aspiration or drainage ± thrombolysis), but comparative performance remains uncertain. We performed a systematic review and meta-analysis comparing MIS approaches. PubMed, Embase, and CENTRAL were searched (December 2025) for studies in adults undergoing endoscopic or catheter-based MIS for supratentorial sICH. Random-effects meta-analysis was conducted. Prespecified subgroup analyses stratified catheter-based techniques by thrombolysis use. Risk of bias and certainty of evidence was assessed. Twenty-nine studies (8221 patients; 5041 endoscopic; 3180 catheter-based) were included. Endoscopic evacuation was associated with lower mortality (RR 0.64; 95% CI: 0.47-0.87; P < 0.01; I

Indexed as

Cerebral HemorrhageEndoscopyMinimally Invasive Surgical ProceduresNeuroendoscopyCathetersDrainageHumansTreatment OutcomeCatheterEndoscopicIntracerebral hemorrhageMinimally invasive

Identifiers

PMID42552275
PMCPMC13437680

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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.