{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:17:08Z","timestamp":1783693028722,"version":"3.55.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Basal ganglia hemorrhage (BGH) is a severe subtype of spontaneous intracerebral hemorrhage. Surgical intervention remains a critical strategy for reducing hematoma volume, alleviating mass effect, and improving clinical outcomes. This study compared fully visualized contact endoscopy with microscopy and standard neuroendoscopy for BGH treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A retrospective, multicenter, observational cohort study was conducted on patients undergoing surgical evacuation for BGH (n=335) at 8 tertiary medical centers in Suzhou from January 2021 to May 2024, stratified into microscopy (n=217), neuroendoscopy (n=76), and contact endoscopy (n=42) groups. Surgical outcomes and prognostic indicators were systematically evaluated across groups, with multivariable analysis conducted to independently assess the impact of surgical methods on long-term prognosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Both endoscopic groups showed significantly shorter operation times, reduced blood loss, and shorter intensive care unit stays than the microscopy group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.05), with no difference between endoscopic techniques. Endoscopy was associated with lower intracranial infection rates (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.0167). There were no significant differences in hematoma evacuation rates, neurological scores at 7 days, or functional outcomes (both Glasgow Outcome Scale scores and Karnofsky Performance Status scores) at 3 months. Multivariable analysis identified older age, hypertension, and larger hematoma volume, but not surgical technique, as independent predictors of poor long-term outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Microscopy, neuroendoscopy, and contact endoscopy all demonstrated effectiveness for hematoma evacuation and life preservation for BGH. Endoscopic approaches may offer superior perioperative safety profiles without significant long-term outcome differences. Contact endoscopy is a safe and feasible alternative for BGH surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/svin.125.002172","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T09:01:05Z","timestamp":1781773265000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Full Visualization of Contact Endoscopy for Basal Ganglia Hemorrhage: A Multicenter Retrospective Study Comparing With Microscopy and Neuroendoscopy"],"prefix":"10.1161","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9467-7730","authenticated-orcid":true,"given":"Shaofei","family":"Ni","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China (S.N., A.D., Y.R., R.S., F.W., Z.C., D.L., B.Y., J.W., X.S., Zhong Wang)."},{"name":"Department of Neurosurgery, Zhangjiagang Third People\u2019s Hospital, Suzhou, China (S.N.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8918-7842","authenticated-orcid":true,"given":"Aojie","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China (S.N., A.D., Y.R., R.S., F.W., Z.C., D.L., B.Y., J.W., X.S., Zhong Wang)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8201-247X","authenticated-orcid":true,"given":"Jiachen","family":"Liu","sequence":"additional","affiliation":[{"name":"Suzhou Medical College of Soochow University, China (J.L., Y.Z., Zixuan Wang, R.H.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanni","family":"Zheng","sequence":"additional","affiliation":[{"name":"Suzhou Medical College of Soochow University, China (J.L., Y.Z., Zixuan Wang, R.H.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yubo","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China (S.N., A.D., Y.R., R.S., F.W., Z.C., D.L., B.Y., J.W., X.S., Zhong Wang)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8779-0933","authenticated-orcid":true,"given":"Renjie","family":"Shou","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China (S.N., A.D., Y.R., R.S., F.W., Z.C., D.L., B.Y., J.W., X.S., Zhong Wang)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8089-6075","authenticated-orcid":true,"given":"Fei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China (S.N., A.D., Y.R., R.S., F.W., Z.C., D.L., B.Y., J.W., X.S., Zhong Wang)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zixuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Suzhou Medical College of Soochow University, China (J.L., Y.Z., Zixuan Wang, R.H.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Huang","sequence":"additional","affiliation":[{"name":"Suzhou Medical College of Soochow University, China (J.L., Y.Z., Zixuan Wang, R.H.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, China (L. 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