Endovascular embolization of the middle meningeal artery with the SQUID-18 non-adhesive embolic agent as a treatment for recurrent chronic subdural hematoma (a case report)
https://doi.org/10.17650/1683-3295-2021-23-4-67-71
Abstract
Objective: to report a case of recurrent chronic subdural hematoma treated using endovascular superselective embolization of the middle meningeal artery with the SQUID-18 non-adhesive embolic agent.
Materials and methods. A 73-year-old male patient had an open head injury after own height falling. Multislice computed tomography demonstrated chronic subdural hematoma in the left parietooccipital region. The patient had surgery with a positive effect; however, 1 month postoperatively he developed recurrent hematoma. He was diagnosed with recurrent chronic subdural hematoma and underwent endovascular embolization of the distal branches of the middle meningeal artery with a non-adhesive embolic agent; repeated hematoma drainage was not required.
Results. Follow-up multislice computed tomography performed 7 months postoperatively demonstrated total resorption of chronic subdural hematoma.
Conclusion. This case illustrates the variety of methods that can be used for the treatment of chronic subdural hematoma and shows that endovascular embolization of the middle meningeal artery is a minimally invasive and effective procedure for such a disorder.
About the Authors
M. S. Aronov
A.I. Burnazyan State Medical Research Center, FMBA of Russia; I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Moisey Solomonovich Aronov
23 Marshala Novikova St., Moscow 123098
Bld. 2, 16 Trubetskaya St., Moscow 119991
M. V. Popov
A.I. Burnazyan State Medical Research Center, FMBA of Russia
Russian Federation
Russian Federation
23 Marshala Novikova St., Moscow 123098
O. E. Sukhorukov
European Medical Center
Russian Federation
Russian Federation
35 Schepkina St., Moscow 129090
G. S. Sergeev
European Medical Center
Russian Federation
Russian Federation
35 Schepkina St., Moscow 129090
References
1. Потапов А.А., Лихтерман Л.Б., Кравчук А.Д. Хронические субдуральные гематомы. М., 1997. 231 с. [Potapov A.A., Likhterman L.B., Kravchuk A.D. Chronic subdural hematomas. Moscow, 1997. 231 р. (In Russ.)].
2. Link T.W., Rapoport B.I., Paine S.M. et al. Middle meningeal artery embolization for chronic subdural hematoma: Endovascular technique and radiographic findings. Interv Neuroradiol 2018;24(4):455–62. DOI: 10.1177/1591019918769336.
3. Killeffer J.A., Killeffer F.A., Schochet S.S. The outer neomembrane of chronic subdural hematoma. Neurosurg Clin N Am 2000;11(3):407–12.
4. Ban S.P., Hwang G., Byoun H.S. et al. Middle meningeal artery embolization for chronic subdural hematoma. Radiology 2018;286(3):992–9. DOI: 10.1148/radiol.2017170053.
5. Ng S., Derraz I., Boetto J. et al. Middle meningeal artery embolization as an adjuvant treatment to surgery for symptomatic chronic subdural hematoma: a pilot study assessing hematoma volume resorption. J Neurointerv Surg 2020;12(7):695–9. DOI: 10.1136/neurintsurg-2019-015421.
6. Srivatsan A., Mohanty A., Nascimento F.A. et al. Middle meningeal artery embolization for chronic subdural hematoma: Meta-analysis and systematic review. World Neurosurg 2019; 122:613–9. DOI: 10.1016/j.wneu.2018.11.167.
7. Link T.W., Boddu S., Paine S.M. et al. Middle meningeal artery embolization for chronic subdural hematoma: A series of 60 cases. Neurosurgery 2019;85(6):801–7. DOI: 10.1093/neuros/nyy521.
8. Catapano J.S., Ducruet A.F., Nguyen C.L. et al. Middle meningeal artery embolization for chronic subdural hematoma: an institutional technical analysis. J Neurointerv Surg 2020;13(7):657–60. DOI: 10.1136/neurintsurg-2020-016552.
Review
For citations:
Aronov M.S., Popov M.V., Sukhorukov O.E., Sergeev G.S. Endovascular embolization of the middle meningeal artery with the SQUID-18 non-adhesive embolic agent as a treatment for recurrent chronic subdural hematoma (a case report). Russian journal of neurosurgery. 2021;23(4):67-71. (In Russ.) https://doi.org/10.17650/1683-3295-2021-23-4-67-71
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