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Background <p>Minimally invasive treatment of intracerebral hematomas is gaining importance following recent trials. Clot evacuation must minimise collateral damage while assuring optimal blood-volume reduction. Technical refinements call for systematic yet dynamic procedures, where ultrasound is an asset.</p> Method <p>Description of the “Scuba” procedure and workflow: stereotactic canula insertion, clot evacuation with aspiration-debriding system under endoscopic view. Step-by-step ultrasound findings detailed.</p> Conclusion <p>ICH endoscopic evacuation may become a workhorse for cerebrovascular surgeons. Ultrasound provides real-time feedback on hematoma evacuation, becoming a reliable dynamic element in intraoperative decision-making. Yet, US requires a different operative setup and adds on to the learning curve.</p>

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How we do it: Ultrasound-guided scuba technique for evacuation of intracerebral hematoma

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年5月2日

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  • Alejandra Mosteiro,
  • Alberto Di Somma,
  • Luis Reyes,
  • Ana Rodríguez-Hernández,
  • Ramon Torné

摘要

Background

Minimally invasive treatment of intracerebral hematomas is gaining importance following recent trials. Clot evacuation must minimise collateral damage while assuring optimal blood-volume reduction. Technical refinements call for systematic yet dynamic procedures, where ultrasound is an asset.

Method

Description of the “Scuba” procedure and workflow: stereotactic canula insertion, clot evacuation with aspiration-debriding system under endoscopic view. Step-by-step ultrasound findings detailed.

Conclusion

ICH endoscopic evacuation may become a workhorse for cerebrovascular surgeons. Ultrasound provides real-time feedback on hematoma evacuation, becoming a reliable dynamic element in intraoperative decision-making. Yet, US requires a different operative setup and adds on to the learning curve.