Neurointervention.  2024 Nov;19(3):174-179. 10.5469/neuroint.2024.00297.

Retrograde Middle Meningeal Artery Embolization through Mini Craniotomy for Subdural Hematoma Evacuation: A Technical Note

• Liang B
• Moskalik AD
• Yu N
• Goodrich DJ
• Lee G
• Cord BJ
• Waldau B

• KMID: 2560222
• DOI: http://doi.org/10.5469/neuroint.2024.00297

Abstract

This report introduces a novel surgical technique for middle meningeal artery embolization (MMAE) during a mini-craniotomy for subdural hematoma (SDH) evacuation. A patient with multiple health issues presented with a 14 mm right subacute SDH. During surgery, the MMA was retrogradely catheterized and embolized using Onyx 18. This approach, combining MMAE with hematoma evacuation, resulted in successful resolution of the SDH without complications. The procedure offers a more efficient workflow by integrating 2 interventions into 1, potentially reducing recurrence rates of SDH.

Keyword

Middle meningeal artery; Hematoma; Subdural; Chronic; Embolization; Craniotomy

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