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Open Access 16-05-2024 | Hematoma | Editorial

Does Every Subdural Hematoma Patient Need an Embolization?

Authors: Jens Fiehler, Matthias Bechstein

Published in: Clinical Neuroradiology | Issue 2/2024

Excerpt

Chronic subdural hematomas (cSDHs) can lead to significant morbidity and mortality, even with treatment. A major problem is the risk of recurrence after initial surgical evacuation via burr hole or craniectomy. Studies have reported recurrence rates ranging from 5 to 30% after initial treatment [1]. …

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Edlmann E, Giorgi-Coll S, Whitfield PC, Carpenter KLH, Hutchinson PJ. Pathophysiology of chronic subdural haematoma: inflammation, angiogenesis and implications for pharmacotherapy. J Neuroinflammation. 2017;14(1):108. https://doi.org/10.1186/s12974-017-0881-y.CrossRefPubMedPubMedCentral

Shapiro M, Raz E, Nossek E, Srivatanakul K, Walker M, Mir O, Nelson PK. Dural venous system: angiographic technique and correlation with ex vivo investigations. J Neurointerv Surg. 2022;14(2):196–201. https://doi.org/10.1136/neurintsurg-2020-017237.CrossRefPubMed

Bastianon Santiago R, Jastrzebski C, Dakwar E, Adada B, Borghei-Razavi H, Obrzut M. Middle meningeal artery embolization for chronic subdural hematoma- pathophysiology and radiological findings. World Neurosurg. 2024;23:100296. https://doi.org/10.1016/j.wnsx.2024.100296.CrossRef

Rai AT, Halak AA, Lakhani DA, Tarabishy AR, Siddiqui AH. Population-based estimates suggest middle meningeal artery embolization for subdural hematomas could significantly expand the scope of neurovascular therapies. J Neurointerv Surg. 2024; https://doi.org/10.1136/jnis-2024-021686.CrossRefPubMed

Levitt MR, Hirsch JA, Chen M. Middle meningeal artery embolization for chronic subdural hematoma: an effective treatment with a bright future. J Neurointerv Surg. 2024;16(4):329–30. https://doi.org/10.1136/jnis-2024-021602.CrossRefPubMed

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Rodriguez B, Morgan I, Young T, Vlastos J, Williams T, Hrabarchuk EI, Tepper J, Baker T, Kellner CP, Bederson J, Rapoport BI. Surgical techniques for evacuation of chronic subdural hematoma: a mini-review. Front Neurol. 2023;14:1086645. https://doi.org/10.3389/fneur.2023.1086645.CrossRefPubMedPubMedCentral

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Rauhala M, Helén P, Huhtala H, Heikkilä P, Iverson GL, Niskakangas T, Öhman J, Luoto TM. Chronic subdural hematoma-incidence, complications, and financial impact. Acta Neurochir. 2020;162(9):2033–43. https://doi.org/10.1007/s00701-020-04398-3.CrossRefPubMed

12.

Bechstein M, McDonough R, Fiehler J, Zanolini U, Rai H, Siddiqui A, Shotar E, Rouchaud A, Goyal M, Gellissen S. Radiological evaluation criteria for chronic subdural hematomas : review of the literature. Clin Neuroradiol. 2022;32(4):923–9. https://doi.org/10.1007/s00062-022-01138-1.CrossRefPubMedPubMedCentral

Title: Does Every Subdural Hematoma Patient Need an Embolization?
Authors: Jens Fiehler
Matthias Bechstein
Publication date: 16-05-2024
Publisher: Springer Berlin Heidelberg
Keywords: Hematoma
Subdural Hematoma
Craniotomy
Published in: Clinical Neuroradiology / Issue 2/2024
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI: https://doi.org/10.1007/s00062-024-01425-z

2024 ESC Congress

Springer Medicine

Does Every Subdural Hematoma Patient Need an Embolization?

Excerpt

2024 ESC Congress

Springer Medicine

Excerpt

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