作者
Austin Carpenter, Mitchell Rock, Ehsan Dowlati, Charles Miller, Jeffrey C Mai, Ai-Hsi Liu, Rocco A Armonda, Daniel R Felbaum
发表日期
2022/2
来源
Neurosurgical review
卷号
45
期号
1
页码范围
439-449
出版商
Springer Berlin Heidelberg
简介
Optimal treatment for chronic subdural hematomas remains controversial and perioperative risks and comorbidities may affect management strategies. Minimally invasive procedures are emerging as alternatives to the standard operative treatments. We evaluate our experience with middle meningeal artery (MMA) embolization combined with Subdural Evacuating Port System (SEPS) placement as a first-line treatment for patients with cSDH. A single institution retrospective review was performed of all patients undergoing intervention. Patients were stratified by treatment with MMA embolization and SEPS placement, MMA embolization and surgery, SEPS placement only, and surgery only for cSDH from 2017 to 2020, and cohorts were compared against each other. Patients treated with MMA/SEPS were more likely to be older, be on anticoagulation, have significant comorbidities, have shorter length of stay, and less …
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A Carpenter, M Rock, E Dowlati, C Miller, JC Mai… - Neurosurgical review, 2022