Early single-center experience with middle meningeal artery embolization using Zoom^™ 45 Catheter.

IF 1.5 4区医学 Q4 CLINICAL NEUROLOGY

Interventional Neuroradiology Pub Date : 2024-05-06 DOI:10.1177/15910199241250078

Rami Z Morsi, Sonam Thind, Archit Baskaran, Rohini Rana, Julián Carrión-Penagos, Harsh Desai, Sachin A Kothari, Ahmad Chahine, Jehad Zakaria, Sean P Polster, James E Siegler, Scott J Mendelson, Ali Mansour, Michael C Hurley, Shyam Prabhakaran, Tareq Kass-Hout

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引用次数: 0

Abstract

Background: Middle meningeal artery (MMA) embolization for subdural hematomas (SDH) and dural arteriovenous fistulas (dAVFs) has gained momentum in the neuroendovascular space. However, there is variability in the technique for safe and effective embolization. The aim of this report is to describe the technical feasibility and clinical performance of using Zoom^™ 45 catheter for MMA access to facilitate embolization.

Methods: We analyzed all cases of MMA embolization in which the Zoom^™ 45 catheter was used and performed in our institution from February 2021 to March 2023 for SDH and dAVFs.

Results: A total of 32 patients were included. Mean age was 64.0 ± 18.0 years, 75.0% (4/32) were male, and 56.7% (17/30), were black. The technical success was achieved in 93.8% (30/32) of cases, with selective embolization utilizing microcatheter directly into frontal and parietal branches for most patients (96.9%, 31/32). Identification of dangerous collaterals, such as lacrimal and petrous branches, prior to embolization, was achieved in most patients (96.9%, 31/32). Bilateral MMA embolization was done in 50.0% (16/32) of patients. The transradial approach and transfemoral approach were used in 53.1% (17/32) and 46.9% (15/32) of patients, respectively. The most common embolization material was n-butyl cyanoacrylate (84.4%, 27/32). There were no access site complications or complications related to the MMA embolization procedures and used devices.

Conclusions: The use of Zoom^™ 45 Catheter seems to be technically feasible, safe, and effective for facilitating MMA access for embolization in the context of SDH and dAVFs.

查看原文本刊更多论文

使用 Zoom™ 45 导管进行脑膜中动脉栓塞术的早期单中心经验。

背景：脑膜中动脉（MMA）栓塞治疗硬脑膜下血肿（SDH）和硬脑膜动静脉瘘（dAVFs）在神经内血管领域的发展势头良好。然而，安全有效的栓塞技术存在差异。本报告旨在描述使用 Zoom™ 45 导管进入 MMA 以促进栓塞的技术可行性和临床表现：我们分析了 2021 年 2 月至 2023 年 3 月期间在我院使用 Zoom™ 45 导管进行 MMA 栓塞治疗 SDH 和 dAVFs 的所有病例：共纳入 32 例患者。平均年龄（64.0±18.0）岁，男性占 75.0%（4/32），黑人占 56.7%（17/30）。93.8%（30/32）的病例取得了技术成功，大多数患者（96.9%，31/32）利用微导管直接对额叶和顶叶分支进行选择性栓塞。大多数患者（96.9%，31/32）都能在栓塞前识别出危险的瓣膜，如泪腺和枕叶分支。50.0%的患者（16/32）进行了双侧MMA栓塞。53.1%（17/32）和46.9%（15/32）的患者采用了经桡动脉途径和经股动脉途径。最常见的栓塞材料是氰基丙烯酸正丁酯（84.4%，27/32）。MMA栓塞手术和所用设备均未出现入路部位并发症或相关并发症：结论：在 SDH 和 dAVF 的情况下，使用 Zoom™ 45 导管进行 MMA 取栓在技术上是可行、安全和有效的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Interventional Neuroradiology CLINICAL NEUROLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

3.60

自引率

11.80%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Interventional Neuroradiology (INR) is a peer-reviewed clinical practice journal documenting the current state of interventional neuroradiology worldwide. INR publishes original clinical observations, descriptions of new techniques or procedures, case reports, and articles on the ethical and social aspects of related health care. Original research published in INR is related to the practice of interventional neuroradiology...