Evidence map›Paper›PMID 37037979›Full record

ReviewCurrent neurology and neuroscience reports2023

Middle Meningeal Artery Embolization in the Management of Chronic Subdural Hematoma: a Comprehensive Review of Current Literature.

Likowsky L Desir, Vinayak Narayan, Jason Ellis, David Gordon, David Langer, Rafael Ortiz, Yafell Serulle

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Current neurology and neuroscience reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06466733 (Puerto Rico Embolization of the Middle Meningeal Artery for the Treatment of Chronic Subdural Hematoma Trial), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06466733 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Puerto Rico Embolization of the Middle Meningeal Artery for the Treatment of Chronic Subdural Hematoma Trial (PREMMA)

TypeinterventionalSponsorJuan M. Ramos AcevedoRan2025 to 2032Enrolled658ConditionsChronic Subdural HematomaArmsEmbolization of the middle meningeal artery, Surgical Evacuation via burr hole or craniotomy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Surgical evacuation without versus with middle meningeal artery embolization in chronic subdural hematoma: A meta-analysis of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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  7. Preliminary efficacy analysis of middle meningeal artery embolization using Glubran 2 for chronic subdural hematoma.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Likowsky L DesirDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.
Vinayak NarayanDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.
Jason EllisDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.
David GordonDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.
David LangerDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.
Rafael OrtizDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.
Yafell SerulleDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA. yserulle@northwell.edu.
Lenox Hill Hospital · USCity University of New York · USHofstra University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewChronic subdural hematoma (cSDH) is a common intracranial hemorrhagic disorder with a high incidence rate among the elderly. While small, asymptomatic cSDH may resolve spontaneously, surgical intervention has been the treatment of choice for larger, symptomatic cases. Surgical evacuation of cSDH may be associated with high rates of recurrence, and even asymptomatic cSDH cases tend to progress. Over the last few years, middle meningeal artery (MMA) embolization has proven to be a safe non-invasive treatment of choice with favorable outcomes and a low recurrence rate. The ensuing paper discusses current treatment modalities for cSDH and reviews existing literature on the anatomy of MMA and its embolization as a treatment option for cSDH. RECENT

findingsRecent studies show that traumatic head injury leading to subdural hemorrhage can induce neovascularization that may initiate a cycle of recurrent subdural hematoma. Distal branches of MMA supply blood to the dural layers. Several studies have revealed that embolization of the MMA can stop the neovascularization process and blood flow. In addition, patients who underwent MMA embolization had a significantly quicker brain re-expansion and lower recurrence rate. Although the management of cSDH is still very much a dilemma, recent research findings bring MMA embolization to light as a promising treatment alternative and adjunctive therapy.

Indexed as

Embolization, TherapeuticHematoma, Subdural, ChronicAgedHumansMeningeal ArteriesTreatment OutcomeChronic subdural hematomaDural layerIntracranial hemorrhageMiddle meningeal artery embolizationNeovascularizationRecurrence

Identifiers

PMID37037979
OpenAlexW4363625559

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.