Helical coils augment embolization of the middle meningeal artery for treatment of chronic subdural hematoma: A technical note

Arvin R. Wali; Alexander Himstead; Javier Bravo; Michael G Brandel; Brian R. Hirshman; J. Scott Pannell; Andrew D. Nguyen; David R. Santiago-Dieppa

doi:10.7461/jcen.2023.E2022.08.001

추천

검색

자료유형: 학술저널

저자정보: Arvin R. Wali (Department of Neurosurgery University of California San Diego La Jolla CA USA) Alexander Himstead (Department of Neurological Surgery University of California San Diego CA USA) Javier Bravo (Department of Neurological Surgery University of California San Diego CA USA) Michael G Brandel (Department of Neurological Surgery University of California San Diego CA USA) Brian R. Hirshman (Department of Neurological Surgery University of California San Diego CA USA) J. Scott Pannell (Department of Neurological Surgery University of California San Diego CA USA) Andrew D. Nguyen (Department of Neurological Surgery University of California San Diego CA USA) David R. Santiago-Dieppa (Department of Neurological Surgery University of California San Diego CA USA)

저널정보: 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.25 No.2

발행연도: 2023.6

수록면: 214 - 223 (10page)

DOI: 10.7461/jcen.2023.E2022.08.001

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Embolization of the middle meningeal artery (MMA) is a safe and effective adjunct in the treatment of chronic subdural hematoma. While prior authors describe the use of coils to assist embolization by preventing reflux through eloquent collaterals, we de- scribe the use of coils to further open the MMA, allowing the administration of greater amounts of embolisate for a more robust embolization. The objective of this study was to demonstrate that helical coils can safely open the MMA following the administration of polyvinyl alcohol (PVA) particles. This allows for more embolisate to be administered into the MMA for more effective treatment. A retrospective review was conducted at our institution including intraoperative images and postoperative clinical and radiographic follow up. Failure rates using MMA embolization with PVA and helical coil augmentation were compared to failure rates in the literature of MMA embolization with PVA or ethylene vinyl-alcohol copolymer alone. A total of 8 cases were reviewed in which this technique was implemented. There were no immediate complications after treatment. All patients that underwent helical coil embolization following the administration of PVA had increased amount of embolisate delivered into the MMA. All patients at follow up had resolution of the subdural hematoma on outpatient imaging. Helical coil embolization allows for more embolisate administration into the MMA and provides a technical advantage for patients that fail traditional techniques of embolization. Case series are taking place to further test this hypothesis and identify the ideal patient population that may gain maximal yield from this novel technique.

#Chronic subdural hematoma #Middle meningeal artery embolization #Helical coil #Augmentation #Recurrence

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

Arvin R. Wali

소속기관 Department of Neurosurgery University of California San Diego La Jolla CA USA

주요연구분야 의약학 > 임상의학 > 신경외과학

논문수 2 이용수 0

Alexander Himstead