A systematic review of middle meningeal artery embolization for minimally symptomatic chronic subdural haematomas that do not require immediate evacuation.

ABSTRACT:

Introduction

Embolization of the Middle Meningeal Artery (EMMA) is an emerging treatment option for patients with Chronic Subdural Haematoma (CSDH).

Questions

(1) Can EMMA change the natural history of untreated minimally symptomatic CSDH which do not require immediate evacuation? (2) What is the role of EMMA in the prevention of recurrence following surgical treatment? (3) Can the procedure be performed under local anaesthetic?

Material and methods

Systematic literature review. No randomised clinical trials available on EMMA for meta-analysis.

Results

Six unique large cohorts with more than 50 embolisations were identified (evidence: 3b-4). EMMA can control the progression of surgically naïve CSDH in 91.1-100% of the patients, in which haematoma expansion is h

SUBMITTER: Rojas-Villabona A 

PROVIDER: S-EPMC10668091 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature