Middle meningeal artery embolization and subdural evacuating port system placement for chronic subdural hematomas: how I do it.

Ryan Gensler, Clare Grady, Gregory F Keating, Ehsan Dowlati, Daniel R Felbaum

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In one paragraph

Article in Acta neurochirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Preoperative middle meningeal artery embolization is associated with reduced reoperation rates in chronic subdural hematoma.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
Article

4 · The record

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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

5 authors.

Ryan GenslerGeorgetown University School of Medicine, 3900 Reservoir Road NW, Washington, DC, USA. rtg41@georgetown.edu.

Clare GradyDepartment of Neurosurgery, MedStar Washington Hospital Center, 110 Irving St. NW, Washington, DC, USA.

Gregory F KeatingDepartment of Neurosurgery, MedStar Washington Hospital Center, 110 Irving St. NW, Washington, DC, USA.

Ehsan DowlatiDepartment of Neurosurgery, North Shore University Hospital, Manhasset, NY, USA.

Daniel R FelbaumDepartment of Neurosurgery, MedStar Washington Hospital Center, 110 Irving St. NW, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic subdural hematoma (cSDH) is a common neurosurgical pathology causing significant morbidity and mortality, yet optimal management and intervention remains controversial.

methodsWe describe embolization of the middle meningeal artery (MMA) and placement of subdural evacuating port systems (SEPS) by a dual trained open and endovascular neurosurgeon. Both procedures are done in sequence in the interventional radiology suite, and real time radiographic results are demonstrable with Xper-CT.

conclusionsMMA Embolization followed by evacuation of cSDH with a SEPS is a valuable strategy to mitigate perioperative risk factors and patient comorbidities, through a minimally invasive evacuation with subsequent embolization minimizing recurrence.

Indexed as

Embolization, TherapeuticHematoma, Subdural, ChronicMeningeal ArteriesHumansMaleTreatment OutcomeChronic subdural hematomaHematoma recurrence preventionMiddle meningeal artery embolizationMinimally invasive neurosurgeryNeurointerventional radiologySubdural evacuating port system

Identifiers

PMID40064760

DOI10.1007/s00701-025-06483-x

PMCPMC11893678

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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.