Safety and effectiveness of hard channel puncture and drainage combined with middle meningeal artery embolization for chronic subdural hematomas with high-risk recurrence factors
QIAN Yao-xuan
ZHUANG Min-jie
ZHOU Zhi-jie
PENG Wei
YAN Xi-gang
Abstract：Objective To investigate the safety and efficacy of hard-channel puncture and drainage combined with middle meningeal artery(MMA)embolization for chronic subdural hematomas(CSDHs)with high-risk recurrence factors.Methods The clinical data of 22 patients with CSDHs associated with high-risk recurrence factors who underwent hard-channel puncture and drainage combined with MMA embolization from January 2021 to April 2023 were retrospectively analyzed.Results Regarding the embolization methods,13 patients received pure EVAL glue embolization,2 received pure coil embolization,and 7 received a combination of EVAL glue and coil embolization;among them,9 patients underwent bilateral embolization.Postoperative CT reexamination indicated that the density within the hematoma cavity increased in 9 patients.All patients'clinical symptoms were alleviated after the operation.No hematoma progression or recurrence was observed during the 3-month follow-up.Conclusion Hard-channel puncture and drainage combined with MMA embolization is one of the effective approaches for treating CSDH associated with high-risk recurrence factors,but its long-term therapeutic effect still requires further observation.
Keywords：Chronic subdural hematomaHigh-risk recurrence factorsMiddle meningeal arteryEmbolizationHard-channel puncture and drainageSafetyEfficacy
Publication Date：2024-11-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 655-659,664 )