The curative effect of interventional embolization of middle meningeal artery for chronic subdural hematoma
10.3969/j.issn.1008-794X.2024.01.003
- VernacularTitle:脑膜中动脉介入栓塞治疗慢性硬膜下血肿效果观察
- Author:
Fei DING
1
;
Zhenbao LI
;
Zihuan ZHANG
;
Xintong ZHAO
;
Jiaqiang LIU
;
Feiyun QIN
;
Liying HU
;
Gang ZHOU
Author Information
1. 241001 安徽芜湖 皖南医学院第一附属医院(弋矶山医院)神经外科
- Keywords:
chronic subdural hematoma;
middle meningeal artery;
interventional embolization;
liquid embolization agent
- From:
Journal of Interventional Radiology
2024;33(1):12-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of interventional embolization of middle meningeal artery(MMA)for the treatment of chronic subdural hematoma(CSDH).Methods The clinical data of 14 patients with CSDH(17 lesions in total),who were treated with simple embolization of MMA at the Yijishan Hospital of Wannan Medical College of China between July 2021 and July 2022,were retrospective analyzed.After superselective catheterization of MMA using a microcatheter was accomplished,Onyx-18 glue,a liquid embolization agent,was used to embolize the main trunk and the branches of MMA.Imaging follow-up was adopted at 30 days and 90 days after discharge from hospital to evaluate the absorption of hematoma,and the improvement of clinical symptoms was defined as the modified Rankin Scale score(mRS)being decreased≥1 point from the baseline value.Results Successful embolization of MMA was accomplished for all the 17 lesions in the 14 patients,and no procedure-related complications occurred.During the follow-up period,the clinical symptoms and signs were remarkably improved in all patients.The postoperative 90-day hematoma volume was reduced by more than 90%in 11 patients and by more than 40%in one patient,and in 2 patients the postoperative 30-day hematoma volume was reduced by more than 30%.Complete absorption of hematoma was seen in 11 patients,and partial absorption of hematoma was observed in 3 patients.Conclusion For the treatment of newly-developed or recurrent CSDH,interventional embolization of MMA is clinically safe and effective.(J Intervent Radiol,2024,32:12-16)
