Work

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

Year: 2025

Type: article

Abstract: 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.

Source: Acta Neurochirurgica

DOI: 10.1007/s00701-025-06539-y

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

Institutions: Hospital Clínic de Barcelona, Universitat de Barcelona, Consorci Institut D'Investigacions Biomediques August Pi I Sunyer, Hospital Universitari Germans Trias i Pujol

Language: English

Topic: Intracerebral and Subarachnoid Hemorrhage Research

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,990