Middle meningeal artery embolization and subdural evacuating port system placement for chronic subdural hematomas: how I do it

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-03-10 DOI:10.1007/s00701-025-06483-x

Ryan Gensler, Clare Grady, Gregory F. Keating, Ehsan Dowlati, Daniel R. Felbaum

引用次数: 0

Abstract

Background

Chronic subdural hematoma (cSDH) is a common neurosurgical pathology causing significant morbidity and mortality, yet optimal management and intervention remains controversial.

Methods

We describe embolization of the middle meningeal artery (MMA) and placement of subdural evacuating port systems (SEPS) by a dual trained open and endovascular neurosurgeon. Both procedures are done in sequence in the interventional radiology suite, and real time radiographic results are demonstrable with Xper-CT.

Conclusions

MMA Embolization followed by evacuation of cSDH with a SEPS is a valuable strategy to mitigate perioperative risk factors and patient comorbidities, through a minimally invasive evacuation with subsequent embolization minimizing recurrence.

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慢性硬膜下血肿的中脑膜动脉栓塞和硬膜下疏散系统放置：我是怎么做的

背景：慢性硬膜下血肿（cSDH）是一种常见的神经外科病理，可引起显著的发病率和死亡率，但最佳的治疗和干预仍然存在争议。方法：我们描述了由双重训练的开放和血管内神经外科医生栓塞脑膜中动脉（MMA）和放置硬膜下疏散口系统（SEPS）。这两个程序都在介入放射套件中依次完成，实时放射成像结果可通过Xper-CT显示。结论smma栓塞后用SEPS清除cSDH是一种有价值的策略，通过微创清除和随后的栓塞最小化复发，可以减少围手术期危险因素和患者合并症。

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

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.