MIPS Surgery: Removing Brain Clots Through a Tiny Tube

    October 3, 2026

    MIPS Surgery: Removing Brain Clots Through a Tiny Tube

    An intracerebral hemorrhage (ICH)—bleeding directly into the brain tissue—is a life-threatening form of stroke. As blood accumulates, it creates a clot (hematoma) that damages delicate neural pathways and causes dangerous pressure buildup within the skull.

    Historically, accessing deep-seated brain clots required traditional craniotomies that involved significant brain retraction. Today, Minimally Invasive Parafascicular Surgery (MIPS) allows neurosurgeons to access and clear deep brain clots through a clear, narrow tube, minimizing disruption to surrounding healthy tissue.

    How MIPS Surgery Works

    MIPS combines advanced digital navigation, high-definition optics, and specialized access port technology to navigate deep brain structures safely:

    1. 3D Surgical Navigation: Using real-time intraoperative GPS guidance (neuronavigation) based on pre-procedure MRI or CT scans, the neurosurgeon plans a precise pathway to the clot that avoids critical motor and language tracts.
    2. Corridor Creation: A small incision is made in the scalp, followed by a dime-sized opening in the skull. A thin, transparent cylindrical port (cannula) is gently introduced along the brain’s natural white matter fold lines (fascicles), pushing nerve fibers aside rather than cutting through them.
    3. Clot Evacuation: Working through the transparent port under high-magnification optics or endoscopy, the surgeon utilizes targeted suction and micro-instruments to evacuate the blood clot, immediately relieving pressure on adjacent brain tissue.

    Key Clinical Benefits of MIPS

    By avoiding extensive brain tissue disruption, MIPS offers clear advantages over traditional open clot evacuation:

    • Reduced Surgical Trauma: Moving between nerve fibers rather than dissecting through them preserves vital brain pathways.
    • Faster Pressure Relief: Immediate evacuation stops the release of toxic blood breakdown products that cause secondary brain swelling.
    • Improved Recovery Potential: Minimizing operative tissue injury leads to shorter neuro-intensive care stays and improved functional rehabilitation outcomes.
    • Book Online: Visit igeaneuro.com to request a comprehensive diagnostic consultation with our neurosurgical team.
    • Call Our Team Today: Speak directly with our dedicated patient care coordinators at (866) 467-1770.