Evidence Update for Minimally Invasive Surgical Evacuation of Supratentorial Spontaneous Intracerebral Hemorrhage: A Science Advisory From the American Heart Association.

Authors

Stacey Q Wolfe, Sepideh Amin-Hanjani, Christine Tschoe, Scott D Simon, Christopher P Kellner, Kevin N Sheth, American Heart Association Stroke Council; and Council on Lifelong Congenital Heart Disease and Heart Health in the Young

Published in

Stroke. Aug 24, 2026. Epub Aug 24, 2026.

Abstract

Recent evidence has reignited interest in the role of surgical intervention for improving outcomes after spontaneous intracerebral hemorrhage. Historically, the surgical management of intracerebral hemorrhage has been limited due to concerns regarding procedural risks and lack of functional improvement. However, recent advances in minimally invasive surgical techniques suggest improvements in functional recovery, broadening consideration for surgical treatment of certain patients, such as those with lobar hemorrhage after spontaneous intracerebral hemorrhage. This science advisory summarizes randomized evidence for minimally invasive surgical evacuation of intracerebral hemorrhage compared with medical management, including considerations related to patient selection, care pathways, and surgical technique.

PMID:
42634945
Bibliographic data and abstract were imported from PubMed on 24 Aug 2026.

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