How we do it: Ultrasound-guided scuba technique for evacuation of intracerebral hematoma.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 40314818.
- Also identified by DOI 10.1007/s00701-025-06539-y and PMC identifier 12048407.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
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. 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. 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.
Medical subject headings
- Cerebral Hemorrhage
- Hematoma
- Ultrasonography, Interventional