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Neurosurgeons from Department of Neurosurgery, University Hospital Maastricht in Maastricht, the Netherlands have used a minimally invasive technique to treat intracerebral hematoma. Instead of open brain surgery for these blood clots caused by a ruptured vessel in the brain, they used a procedure called SICHPA or Stereotactic treatment of Intracerebral Hematoma by means of a Plasminogen Activator. A catheter is guided by imaging equipment to the tiny clot, which is then injected with urokinase to dissolve it and then drained away with the catheter.
Treatment of intracerebral hematoma (ICH) is controversial. An advantage of neurosurgical intervention over conservative treatment of ICH has not yet been established. This study was a multicenter, European study of 70 patients that showed a reduction in the death rates of patients but more studies need to be done before this treatment becomes a standard of care.
Source: Stroke Journal ASAP
10:57:54 PM 
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