ArticleJournal of cerebrovascular and endovascular neurosurgery2023
Helical coils augment embolization of the middle meningeal artery for treatment of chronic subdural hematoma: A technical note.
Article in Journal of cerebrovascular and endovascular neurosurgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Middle meningeal artery embolization with standalone or adjunctive coiling for treatment of chronic subdural hematoma: Systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Pooled it
- Middle meningeal artery embolization for chronic subdural hematoma: a systematic review.Frontiers in neurology · 2023Pooled it
- Predicting subdural hematoma outcomes as a function of PACE score.Journal of cerebrovascular and endovascular neurosurgery · 2026Article
- Coil embolization alone appears sufficient for middle meningeal artery embolization.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Article
- One-and-done middle meningeal artery embolization with next-generation optiblock coils: streamlining workflow for chronic subdural hematoma.Neuroradiology · 2026Article
- Noninferiority of coiling versus coiling with particles in middle meningeal artery embolization: A technical note and case series.Journal of cerebrovascular and endovascular neurosurgery · 2025Article
- Safety and immediate outcomes of the new generation Swift PAC coil in cerebrovascular pathology: A case series.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Endovascular Embolization for Chronic Subdural Hematomas: A Literature Review of the Current Evidence.Cureus · 2025Review
- Middle meningeal artery embolization: A scoping review of trends and outcomes by embolization material.Surgical neurology international · 2025Review
- Simultaneous resolution of arachnoid cyst and chronic subdural hematoma after middle meningeal artery embolization: illustrative case.Journal of neurosurgery. Case lessons · 2024Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Embolization of the middle meningeal artery (MMA) is a safe and effective adjunct in the treatment of chronic subdural hematoma. While prior authors describe the use of coils to assist embolization by preventing reflux through eloquent collaterals, we de- scribe the use of coils to further open the MMA, allowing the administration of greater amounts of embolisate for a more robust embolization. The objective of this study was to demonstrate that helical coils can safely open the MMA following the administration of polyvinyl alcohol (PVA) particles. This allows for more embolisate to be administered into the MMA for more effective treatment. A retrospective review was conducted at our institution including intraoperative images and postoperative clinical and radiographic follow up. Failure rates using MMA embolization with PVA and helical coil augmentation were compared to failure rates in the literature of MMA embolization with PVA or ethylene vinyl-alcohol copolymer alone. A total of 8 cases were reviewed in which this technique was implemented. There were no immediate complications after treatment. All patients that underwent helical coil embolization following the administration of PVA had increased amount of embolisate delivered into the MMA. All patients at follow up had resolution of the subdural hematoma on outpatient imaging. Helical coil embolization allows for more embolisate administration into the MMA and provides a technical advantage for patients that fail traditional techniques of embolization. Case series are taking place to further test this hypothesis and identify the ideal patient population that may gain maximal yield from this novel technique.
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