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Ultrasonography-Assisted Bedside Technique to Identify and Aspirate Clots: Rescue for Patients with Post-Craniectomy Epidural Hematomas

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Author(s)
El Kim
Keimyung Author(s)
Kim, El
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Journal of Neurological Surgery. Part A, Central European Neurosurgery
Issued Date
2016
Volume
77
Issue
6
Keyword
complicationdecompressive craniectomyepidural hematomastrokeultrasonography
Abstract
Background: The benefits of decompressive craniectomy (DC) may be adversely affected by postoperative complications. This article presents the technique of ultrasonography (US) guidance to treat epidural hematoma (EDH) following DC for ischemic stroke.

Methods: Four patients developed postoperative EDHs requiring dual-trajectory approaches for reexploration and evacuation. Clearance and reaccumulation of the EDH was assessed by US images at the bedside.

Results :Real-time US showed hematoma shrinkage and brain decompression during the suction-assisted evacuation. Aspiration resulted in an immediate average reduction in hematoma size from 106 mL to 30 mL. No ensuing infection and rehemorrhage occurred related to the bedside procedure.

Conclusions: US-guided clot evacuation is an effective minimal access surgery for patients with post-craniectomy EDHs and worsening neurologic status.
Keimyung Author(s)(Kor)
김엘
Publisher
School of Medicine
Citation
El Kim. (2016). Ultrasonography-Assisted Bedside Technique to Identify and Aspirate Clots: Rescue for Patients with Post-Craniectomy Epidural Hematomas. Journal of Neurological Surgery. Part A, Central European Neurosurgery, 77(6), 527–530. doi: 10.1055/s-0035-1571165
Type
Article
ISSN
2193-6315
Source
https://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1571165
DOI
10.1055/s-0035-1571165
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32702
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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