AANS Beyond 2021: Scientific Papers Collection-Neurosurgery in Press MMA embolization for SDH

Video Transcription

Video Summary

In this video, neurosurgeon Uzma Samadhani presents on the topic of middle meningeal artery embolization for chronic subdural in neurosurgery. She discusses the high recurrence rate and mortality associated with chronic subdural cases, highlighting that these patients may be sicker and have longer hospital stays compared to those with brain tumors. Samadhani presents a retrospective analysis of 138 patients who underwent middle meningeal artery embolization, with the primary outcomes being the need for additional surgical treatment and the reduction in subdural thickness on imaging. The results show a low need for retreatment and significant improvement in subdural thickness for the majority of patients. However, the study did not assess whether embolization is better than conservative or conventional management alone. Samadhani mentions ongoing trials investigating the efficacy of embolization in comparison to standard care. She concludes by stating that while the procedure is currently being performed, its clinical indication and long-term outcomes are yet to be fully established.

Keywords

neurosurgeon

middle meningeal artery embolization

chronic subdural

retrospective analysis

subdural thickness