A Comparative Analysis of C-arm Fluoroscopic Guided and Computed Tomography-guided Stereotactic Catheter Drainage of Hypertensive Intracerebral Hematoma.

Lim, Youn Woong; Kim, Myung Hyun; Park, Hyang Kwon; Park, Dong Been; Shin, Kyu Man; Kim, Sung Hak

Original Article

Journal of Korean Neurosurgical Society 2002;32(4): 353-358.

Youn Woong Lim, Myung Hyun Kim, Hyang Kwon Park, Dong Been Park, Kyu Man Shin, Sung Hak Kim

Department of Neurosurgery, College of Medicine, Ewha Womans University, Seoul, Korea.

ABSTRACT

OBJECTIVE
For the treatment of the hypertensive intracerebral hemorrhage, stereotactic catheter drainage of hematoma has been widely used as a less invasive and effective therapeutic modality. However stereotactic catheter drainage method occasionally can not be available. Here, we introduce C-arm fluoroscopic guided catheter drainage of hematoma as an alternative method. The authors compared the two methods and report the result with review of the literatures.
METHODS
A total of 62 patients with hypertensive intracerebral hemorrhage who underwent catheter drainage between February 1996 and December 1999 were reviewed. The patients were divided into two groups according to the method of catheter insertion. The two groups were compared with respect to pre- and post-operative changes of hematoma volume and neurological deficit, hematoma drainage rate, duration of catheter placement, complication, and short term prognosis.
RESULTS
The pre-operative hematoma volume was slightly large in the C-arm fluoroscopic guided method group. But post-operative hematoma volume, pre- and post-operative neurological deficit, hematoma drainage rate, duration of catheter placement, post-operative complication and short term prognosis were not different statistically between the two groups. The preparation time for operation was short in C-arm fluoroscopic guided group.
CONCLUSION
C-arm fluoroscopic guided catheter drainage of intracerebral hematoma can be an alternative to the stereotactic guided method in the urgent situation or when the stereotactic system is not available

Key Words: Fluoroscope; Stereotactic hematoma drainage