Evidence map›Paper›PMID 41264463›Full record

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

Middle meningeal artery embolization for chronic subdural hematoma using PHIL-LV: A case series.

Rudy Goh, Stephen Bacchi, Rebecca Scroop, Alistair Jukes, David J Taylor, Michael J Waters

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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. It carries an expression of concern. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Rudy GohSouth Australian Medical Imaging Department, Royal Adelaide Hospital, Adelaide SA, Australia.ORCID 0000-0003-1645-2258
Stephen BacchiAdelaide Medical School, University of Adelaide, Adelaide SA, Australia.
Rebecca ScroopSouth Australian Medical Imaging Department, Royal Adelaide Hospital, Adelaide SA, Australia.
Alistair JukesSouth Australian Medical Imaging Department, Royal Adelaide Hospital, Adelaide SA, Australia.
David J TaylorSouth Australian Medical Imaging Department, Royal Adelaide Hospital, Adelaide SA, Australia.
Michael J WatersSouth Australian Medical Imaging Department, Royal Adelaide Hospital, Adelaide SA, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundChronic subdural hematoma (CSDH) is increasingly treated with middle meningeal artery embolization (MMAE). This study evaluated MMAE using a precipitating hydrophobic injectable liquid low viscosity (PHIL-LV) liquid embolic agent under general anaesthesia.MethodsConsecutive patients who underwent MMAE for CSDH with PHIL-LV at a single comprehensive neuroscience centre during a two-year period (2023-2025) were analysed. Patient clinical characteristics, imaging characteristics and procedural characteristics were recorded and described.ResultsTwenty-two patients (mean age 76 ± 13) were included in this study. Mean CSDH size was 18.4 ± 6.7 mm; 9/22 (40.9%) patients had a Charlson Comorbidity index >4. MMA embolization was successful in all 22/22 (100%) patients. Symptomatic improvement was observed in 14/17 (82.4%) of patients. During mean follow up (10.7 ± 9.2 (range 1-36)) weeks, mean reduction in CSDH thickness was 12.1 ± 9.9 mm; 13/16 (81.3%) patients had at least partial radiologic resolution of CSDH. No patients required retreatment.ConclusionPHIL-LV MMAE was safe and effective for treatment of CSDH in this case series.

Indexed as

Interventional radiologyliquid embolisationprecipitating hydrophobic injectable liquid low viscosityvascular neurology

Identifiers

PMID41264463
PMCPMC12634384

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