Evidence map›Paper›PMID 40891770›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2025

Preoperative middle meningeal artery embolization is associated with reduced reoperation rates in chronic subdural hematoma.

Hamza Adel Salim, Waseem Shehadeh, Orabi Hajjeh, Adam A Dmytriw, Huanwen Chen, Muhammed Amir Essibayi, Nimer Adeeb, Ahmed Msherghi, Marco Colasurdo, Ajay Malhotra and 4 more

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In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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.

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

2 citing papers in PubMed.

  1. Article
  2. Review
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

14 authors.

Hamza Adel SalimDepartment of Neuroradiology, MD Anderson Medical Center, Houston, TX, USA.ORCID 0000-0002-5208-8425
Waseem ShehadehDepartment of Neuroradiology, MD Anderson Medical Center, Houston, TX, USA.ORCID 0009-0002-3711-3626
Orabi HajjehDepartment of Neuroradiology, MD Anderson Medical Center, Houston, TX, USA.ORCID 0009-0000-6771-193X
Adam A DmytriwNeuroendovascular Program, Massachusetts General Hospital, Harvard University, Boston, MA, USA.ORCID 0000-0003-0131-5699
Huanwen ChenDivision of Neurointerventional Surgery, Department of Neurosurgery, University of Maryland Medical Center, Baltimore, MD, USA.ORCID 0000-0003-2455-748X
Muhammed Amir EssibayiDepartment of Neurological Surgery and Montefiore-Einstein Cerebrovascular Research Lab, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.ORCID 0000-0001-8325-2382
Nimer AdeebDepartment of Neurosurgery and Interventional Neuroradiology, Louisiana State University, Shreveport, LA, USA.
Ahmed MsherghiDepartment of Neuroradiology, MD Anderson Medical Center, Houston, TX, USA.
Marco ColasurdoDepartment of Interventional Radiology, Oregon Health and Science University, Portland, OR, USA.ORCID 0000-0002-7823-3088
Ajay MalhotraDepartment of Radiology, Yale New Haven Hospital, New Haven, CT, USA.
Vivek S YedavalliDepartment of Neuroradiology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA.ORCID 0000-0002-2450-4014
Dheeraj GandhiDivision of Neurointerventional Surgery, Department of Neurosurgery, University of Maryland Medical Center, Baltimore, MD, USA.
Max WintermarkDepartment of Neuroradiology, MD Anderson Medical Center, Houston, TX, USA.
Dhairya A LakhaniDepartment of Radiology, Division of Neuroradiology, Johns Hopkins Medical Center, Baltimore, MD, USA.ORCID 0000-0001-7577-1887

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

BackgroundMiddle meningeal artery embolization (MMAE) has recently emerged as a promising adjunctive therapy to surgical evacuation for patients with chronic subdural hematoma (cSDH). However, the optimal timing of MMAE relative to surgery remains poorly defined. Therefore, this large retrospective cohort study aimed to assess the impact of MMAE timing (preoperative vs. postoperative) on 6-month outcomes in patients with cSDH, focusing on rates of repeat surgery and mortality. We hypothesized that preoperative MMAE would be associated with lower rates of reoperation compared to postoperative MMAE.MethodsAdult patients with nontraumatic cSDH who underwent surgery with adjunctive MMAE were identified using ICD-10 codes from the TriNetX database. A 1:1 propensity score matching approach was used to balance baseline characteristics between groups. The primary outcomes were repeat surgery and all-cause mortality within 6 months.ResultsA total of 338 matched patients (

Indexed as

chronic subdural hematomaendovascular neurosurgeryhematoma recurrenceMiddle meningeal artery embolizationpreoperative embolization

Identifiers

PMID40891770
PMCPMC12405205

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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.