Minimally Invasive Surgery plus rt-PA for Intracerebral Hemorrhage Evacuation The concept of minimally invasive evacuation of an ICH has a good rationale.

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Presentation transcript:

Minimally Invasive Surgery plus rt-PA for Intracerebral Hemorrhage Evacuation The concept of minimally invasive evacuation of an ICH has a good rationale with the goal of reducing hemorrhage volume and mass effect enough to hasten and improve recovery

Key I/E Criteria Exclusion Inclusion Infratentorial ICH Feb 7, 2013 ISC 2013 Late Breaking News 2 Key I/E Criteria Exclusion Inclusion Infratentorial ICH Vascular malformation or brain tumor Irreversibly impaired brainstem function Age 18-80 GCS < 14 or NIHSS > 6 Spontaneous supratentorial ICH > 30cc Stable clot at second CT scan performed > 6 hours after diagnosis Changes to MISTIE III are: Age up to 80, GCS </= 14, ICH volume > 30cc

Upcoming MISTIE IM

Contact Information Brain Injury Outcomes Division Johns Hopkins University (410) 614-3461 www.braininjuryoutcomes.com klane@jhmi.edu

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