Effect of Minimally Invasive Surgical Assisted by Robots on Intraventricular Hemorrhage

Inclusion criteria

• Age range from 18 to 80 years old;

• The time from onset to first CT confirmation of intraventricular hemorrhage is less than 24 hours;

• Before enrollment, CT confirmed that the intraventricular hemorrhage score (modified Graeb score) was ≥ 8 points, and the total score of bilateral lateral ventricles was ≥ 5 points;

• If there is concurrent cerebral hemorrhage but the hematoma volume is less than 30ml;

⑤ First CT to surgery time<72 hours;

⑥ GCS ≤ 14.

Exclusion criteria

• ① Suspected (unless excluded by angiography or CTA/MRA/MRI) or untreated rupture of cerebral aneurysm, Moyamoya disease, intracranial AVM rupture, or tumor;

• Patients with a GCS score of 3 and/or fixed dilated pupils and/or no spontaneous breathing;

• Patients with pre-existing neurological disorders that affect neurological function assessment prior to onset;

• Coagulation dysfunction;

• Patients who require long-term anticoagulant treatment;

⑥ Use dabigatran, apixaban, and/or rivaroxaban (or drugs of the same class) before symptoms appear; ⑦ Platelet count<100 × 109/L, INR>1.4;

⑧ Pregnancy (positive serum or urine pregnancy test);

⑨ Subtentorial hemorrhage or brainstem hemorrhage;

⑩ Patients who have previously participated in other interventional clinical studies and participated in observational, natural history, and/or epidemiological studies that do not involve intervention are eligible;

⑪ Subjects who are expected to not survive until the 180th day of visit; No written informed consent was given by the subjects or legal representatives.