Usefulness of interventional embolization of the middle meningeal artery for recurrent chronic subdural hematoma: Five cases and a review of the literature
| Autor: | Shigeru Yamauchi, Daisuke Maeda, Akira Tempaku, Kimito Kondo, Hironori Furukawa, Akimasa Nishio, Hidetoshi Ikeda, Nobuyuki Tsubota |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Middle meningeal artery Trauma Hematoma Chronic subdural hematoma Recurrence medicine.artery medicine Humans Embolization Aged Aged 80 and over Radical treatment Interventional treatment business.industry medicine.disease Embolization Therapeutic Meningeal Arteries Surgery Meningeal artery Hematoma Subdural Chronic Polyvinyl Alcohol Retreatment Female business |
| Zdroj: | Interventional Neuroradiology. 21:366-371 |
| ISSN: | 2385-2011 1591-0199 |
| Popis: | Purpose Although several strategies against recurrent chronic subdural hematoma (CSDH) have been proposed, no consensus has been established. Recently, middle meningeal artery (MMA) embolization has been proposed as radical treatment for recurrent CSDH. We wanted to estimate the usefulness of MMA embolization for recurrent CSDH. Methods From February 2012 to June 2013, 110 patients with CSDH underwent single burr-hole surgery with irrigation and drainage. Among these patients, 13 showed recurrent hematoma formation and were retreated surgically. Furthermore, repeated recurrence of CSDH was observed in six patients. Five of these six patients underwent middle meningeal artery (MMA) embolization with polyvinyl alcohol particles. All five patients with interventional treatment were observed for four to 60 weeks. Results No more recurrence of CSDH was observed in any of the patients. During the follow-up period, no patients suffered from any side effects or complications from the interventional treatment. Conclusion MMA embolization with careful attention paid to the procedure might be a treatment of choice for recurrent CSDH. |
| Databáze: | OpenAIRE |
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