Middle Meningeal Artery Embolization in Chronic Subdural Hematoma: Implications of Pathophysiology in Trial Design.

Abstract:

:Background: Chronic subdural hematoma (cSDH) is a debilitating condition with a high rate of recurrence after surgical evacuation. Summary: This review is focused on middle meningeal artery (MMA) embolization to treat cSDH. We discuss the underlying pathophysiology of chronic subdural hematoma and how cessation of arterial flow may resolve a venous hemorrhage. We also present the current evidence for MMA embolization and the roadmap for future trials. Conclusion: Frequent multimodal imaging and cSDH sampling would enable us to understand mechanisms of MMA embolization in cSDH treatment and therefore improve our ability to offer MMA embolization to the eligible population.

journal_name

Front Neurol

journal_title

Frontiers in neurology

authors

Moshayedi P,Liebeskind DS

doi

10.3389/fneur.2020.00923

subject

Has Abstract

pub_date

2020-08-27 00:00:00

pages

923

issn

1664-2295

journal_volume

11

pub_type

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