Middle Meningeal Artery Embolization Using Combined Particle Embolization and n-BCA with the Dextrose 5% in Water Push Technique for Chronic Subdural Hematomas: A Prospective Safety and Feasibility Study

• DOI: 10.3174/ajnr.a7077
• Publication Date: 2021-03-05T19:34:24Z
• Authors: F. Al-Mufti; G. Kaur; K. Amuluru; J.B. Cooper; K. Dakay; M. El-Ghanem; J. Pisapia; C. Muh; R. Tyagi; C. Bowers; C. Cole; S. Rosner; J. Santarelli; S. Mayer; C. Gandhi
• Keywords: Middle meningeal artery; Refractory (planetary science)

<h3>BACKGROUND AND PURPOSE:</h3> Embolization of the middle meningeal artery for treatment refractory or recurrent chronic subdural hematomas has gained momentum during past few years. Little been reported on use <i>n</i>-BCA liquid embolic system embolization. We present technical feasibility using diluted <h3>MATERIALS METHODS:</h3> sought to examine safety and Patients with were prospectively enrolled from September 2019 June 2020. The primary outcome was embolization artery. secondary end point efficacy in reducing hematoma volume. <h3>RESULTS:</h3> A total 16 patients enrolled. Concomitant burr-hole craniotomies performed 12 patients. Two required an operation following persistent symptoms. met 100% cases which there no intra- postprocedural complications. Distal penetration branches achieved all cases. 7-day post–middle follow-up head CT demonstrated improvement (&gt;50% reduction volume) 9/15 (60%) patients, 6/15 (40%) showing unchanged stable hematoma. At day 21, available scans substantial further (&gt;75% volume). <h3>CONCLUSIONS:</h3> ethiodized oil (1:6) is safe feasible a standpoint. dextrose 5% bolus improves distal glue.