AANS Beyond 2021: Trauma Bundle-Awake Transradial Middle Meningeal Artery Embolization and Twist Drill Craniotomy for Chronic Subdural Hematoma

Awake Transradial Middle Meningeal Artery Embolization and Twist Drill Craniotomy for Chronic Subdural Hematoma

Video Transcription

Video Summary

The video presents a case series on awake transradial middle meningeal artery (MMA) embolization and twist-drill craniostomy for chronic subdural hematomas. The aim is to improve outcomes for patients with this common neurosurgical problem, particularly in the elderly. The minimally invasive treatment involves targeting the capillary beds supplying fibrocellular neomembranes that potentiate chronic subdural hematomas through MMA embolization, and using subdural evacuating port system (SEPs) for hematoma evacuation without surgery. The study compares patients receiving combined treatment, operative intervention with MMA embolization or SEPs alone, or operative intervention alone. Results show decreased length of stay and recurrence rates for the combined treatment group, particularly in elderly patients. Further research is needed with larger samples and longer follow-ups.

Keywords

awake transradial middle meningeal artery embolization

twist-drill craniostomy

chronic subdural hematomas

minimally invasive treatment

elderly patients