Georgios S Sioutas, Oleg Shekhtman, Mert Marcel Dagli, Mohamed M Salem, Sonia Ajmera, Sandeep Kandregula, Jan-Karl Burkhardt, Visish M Srinivasan, Brian T Jankowitz
BACKGROUND: Chronic subdural hematoma (CSDH) often requires surgical evacuation, but recurrence rates remain high. Middle meningeal artery (MMA) embolization (MMAE) has been proposed as an alternative or adjunct treatment. There is concern that prior surgery might limit patency, access, penetration, and efficacy of MMAE, such that some recent trials excluded patients with prior craniotomy. However, the impact of prior open surgery on MMA patency has not been studied. METHODS: A retrospective analysis was conducted on patients who underwent MMAE for cSDH (2019-2022), after prior surgical evacuation or not...
April 10, 2024: Neurosurgical Review