BACKGROUND: We describe a methodology for effectively improving the lysis and drainage of @entity1779 during stereotactic surgery. METHODS: Stereotactic aspiration using a multitrack technique was performed in 20 @entity1 with @entity548 perforating into the subcortex. Using 3-dimensional computed tomography (3D-CT) guidance, the trajectories and targets of @entity1410 drainage were selected to extract most portions of the irregular and expansive @entity1779 . Volumes ranged from 36 to 60 mL (mean, 45 mL). Four to 5 drains were inserted into the parenchymal and ventricular clots. Aspiration and injections of urokinase (5000 IU) were repeated every 2 to 3 hours until the @entity1410 was almost completely removed. RESULTS: The intended catheters for @entity1410 aspiration were placed precisely along the predetermined tracks with the aid of 3D-CT visualization. The deep and subcortical @entity1410 were totally removed within a mean of 10 hours postoperatively. Multiple catheter placements itself caused no complications. Sixteen @entity1 (80%) recovered with a favorable neurological outcome. CONCLUSIONS: The 3D-CT-based multitrack technique is a rapid and effective method for the stereotactic removal of extensive @entity548 . It has the advantage of giving better neurological recovery than conventional stereotactic or microscopic surgery for selected @entity1 .

Three-dimensional computed tomography-guided multitract aspiration of extensive XXXX : technical note.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematomas', 'hematoma'] @entity1779 :: ('MESH:D002543', 'Disease') :: ['intracerebral hematomas'] @entity548 :: ('MESH:D006470', 'Disease') :: ['ganglionic hemorrhages']
@entity548 :: (MESH:D006470,Disease) :: ['ganglionic hemorrhage']
