[AVBC 2025] Brainpath-assisted versus open surgery for basal ganglia clot evaluation
Care Process & Redesign
Appropriate & Value-based Care Conference
SingHealth
19 November 2025
The aim is to compare the surgical and functional outcomes of Brainpath-assisted versus conventional open surgery for the. Brainpath-assisted evacuation of basal ganglia haemorrhages appears to be associated with improved outcomes, including shorter SICU.
Year Submitted: 2025
Published Date: 19 November 2025
Tags: Functional Outcome, Value Based Care, Care Process ＆ Redesign, Clinical Practice Improvement, Length Of Stay, Quality Improvement
About this Content
Aims
The aim is to compare the surgical and functional outcomes of Brainpath-assisted versus conventional open surgery for the evacuation of basal ganglia haemorrhages and determine whether current clinical practices should be shifted.
Background
Brainpath-assisted or Minimally invasive transsulcal parafascicular surgery (MIPS) is a novel technique designed to reduce intraoperative brain tissue damage and is theorized to result in better patient outcomes compared to conventional open surgery.
Methods
Brainpath-assisted clot evacuation uses the tubular retractor system to reach deep basal ganglia clots through a narrow trans-sulcal corridor to minimize disruption of healthy brain tissue. The Brainpath tubular device displaces brain tissues instead of cutting through them, resulting in less trauma to normal brain tissue.
Results
The median length of stay (mLOS) for patients who underwent MIPS was 38 days, while for open surgery it was 40.5 days. 70% of MIPS patients achieved the LOS target compared to 52.3% of the open surgery cohort. The SICU mLOS for MIPS was 3.7 days compared to 6.9 days for open surgery. Only 10% of MIPS patients required tracheostomy compared to 16.5% for open surgery. The overall gross bill was lower for MIPS at $63,504 compared to $72,449 for open surgery.
Conclusion
Brainpath-assisted evacuation of basal ganglia haemorrhages appears to be associated with improved outcomes, including shorter SICU and hospital stays and reduced gross bill as compared to conventional open surgery.
Lessons Learnt
The Brainpath-assisted technique is associated with improved outcomes, including shorter SICU and hospital stays and a reduced gross bill compared to conventional open surgery.
Keywords
Basal Ganglia Haemorrhages, Patient Outcomes
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Changi General Hospital, National Neuroscience Institute |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Neurology, Surgery |
Project Lead(s) | Zaw Shane @ Hong Wei Yao |
Project Member(s) | Koh JZE |
Connect with this contributor!
Zaw Shane - zaw_shane_ang@nni.com.sg
Project Attachment
1087_CGH_NNI_AVBC_2025_Brainpath_assisted_versus_open_surgery_for_basal_ganglia_clot_evacuation.pdf