Endoscopic versus catheter-based minimally invasive evacuation of spontaneous supratentorial intracerebral hemorrhage: a systematic review and meta-analysis.

Authors

• Shaan Patel
• Shiva A Nischal
• Kush M Kale
• Angelette Mendonca
• Keenan Piper
• Pious D Patel
• Michael R Gooch
• Stavropoula I Tjoumakaris
• Pascal M Jabbour

Publication/Presentation Date

8-5-2026

Abstract

Minimally invasive surgery (MIS) for spontaneous supratentorial intracerebral hemorrhage (sICH) includes endoscopic evacuation and catheter-based evacuation (aspiration or drainage ± thrombolysis), but comparative performance remains uncertain. We performed a systematic review and meta-analysis comparing MIS approaches. PubMed, Embase, and CENTRAL were searched (December 2025) for studies in adults undergoing endoscopic or catheter-based MIS for supratentorial sICH. Random-effects meta-analysis was conducted. Prespecified subgroup analyses stratified catheter-based techniques by thrombolysis use. Risk of bias and certainty of evidence was assessed. Twenty-nine studies (8221 patients; 5041 endoscopic; 3180 catheter-based) were included. Endoscopic evacuation was associated with lower mortality (RR 0.64; 95% CI: 0.47-0.87; P <  0.01; I

Volume

49

Issue

1

ISSN

1437-2320

Published In/Presented At

Patel, S., Nischal, S. A., Kale, K. M., Mendonca, A., Piper, K., Patel, P. D., Gooch, M. R., Tjoumakaris, S. I., & Jabbour, P. M. (2026). Endoscopic versus catheter-based minimally invasive evacuation of spontaneous supratentorial intracerebral hemorrhage: a systematic review and meta-analysis. Neurosurgical review, 49(1), 512. https://doi.org/10.1007/s10143-026-04426-3

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

42552275

Department(s)

Administration and Leadership

Document Type

Article