Evidence map›Paper›PMID 42622854›Full record

ArticleClinical neuroradiology2026

Factors Associated with Short Hospital Stay After Combined Middle Meningeal Artery Embolization and Surgical Evacuation for Chronic Subdural Hematoma.

Anthony Terraciano, Bluyé DeMessie, Muhammed Amir Essibayi, Abdulrhman Alsalama, Khushal Gupta, Hamza Adel Salim, Alireza Karandish, Nimer Adeeb, Dhairya A Lakhani, Yan-Lin Li and 63 more

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Article in Clinical neuroradiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

73 authors.

Anthony TerracianoDepartment of Neurological Surgery and Radiology, Albert Einstein College of Medicine, Bronx, United States.
Bluyé DeMessieDepartment of Neurological Surgery and Radiology, Albert Einstein College of Medicine, Bronx, United States.
Muhammed Amir EssibayiDepartment of Neurological Surgery and Radiology, Albert Einstein College of Medicine, Bronx, United States. m.amir.essibayi@gmail.com.ORCID https://orcid.org/0000-0001-8325-2382
Abdulrhman AlsalamaDepartment of Neurosurgery, University of Illinois Chicago, Chicago, United States.
Khushal GuptaDepartment of Neurological Surgery and Radiology, Albert Einstein College of Medicine, Bronx, United States.
Hamza Adel SalimDepartment of Neuroradiology, The University of Texas MD Anderson Cancer Center, Houston, United States.
Alireza KarandishDepartment of Neurological Surgery and Radiology, Albert Einstein College of Medicine, Bronx, United States.
Nimer AdeebDepartment of Neurosurgery, Ochsner-Louisiana State University, Shreveport, United States.
Dhairya A LakhaniDepartment of Neuroradiology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, United States.
Yan-Lin LiNuffield Department of Surgical Sciences, Medical Sciences Division, University of Oxford, Oxford, United Kingdom.
Diego Alejandro OrtegaNeurovascular Centre & RADIS Lab, St. Michael's Hospital, University of Toronto, Toronto, Canada.
Joseph CarnevaleDepartment of Neurological Surgery, Weill Cornell Medicine/New York-Presbyterian Hospital, New York, United States.
Atakan OrscelikDepartment of Neurological Surgery and Radiology, Mayo Clinic, Rochester, United States.
Zachary AbecassisDepartment of Neurological Surgery, University of Washington, Seattle, United States.
Georgios SioutasDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, United States.
Giancarlo SalsanoUnit of Neuroradiology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Rahim Abo KasemDepartment of Neurosurgery, Medical University of South Carolina, Charleston, United States.
Andrew FalzonAtkinson Morley Regional Neurosciences Centre, St George's University Hospital, London, United Kingdom.
Jefferson O AbariciaDepartment of Interventional Radiology and Neurosurgery, Oregon Health and Science University, Portland, United States.
Pedram D MalekniaUniversity of Alabama at Birmingham, Birmingham, United States.
Leonardo Cruz-CriolloDepartment of Neurology, Neurosurgery & Radiology, University of Iowa Healthcare, Iowa City, United States.
Samantha SchimmelDepartment of Neurosurgery & Brain Repair, University of South Florida, Tampa, United States.
Basel MusmarDepartment of Neurological Surgery, Thomas Jefferson University, Philadelphia, United States.
Matthew AlexanderNeurointerventional Surgery, Sutter Medical Center, Sacramento, United States.
Ahmed AljubooriDepartment of Neurosurgery, Geisinger, Wilkes-Barre, United States.
Dominik F VollherbstDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
Domagoj GajskiDepartment of Neurosurgery, UHC Sestre Milosrdnice, and University of Applied Health Sciences, Zagreb, Croatia.
Jared CooperDepartment of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, United States.
Omar AlwakaaDepartment of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States.
Mohamad EzzeldinNeuro endovascular surgery, HCA Houston Healthcare Kingwood, Kingwood, United States.
Christopher S OgilvyDepartment of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, United States.
Fawaz Al-MuftiDepartment of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, United States.
Vladimir KalousekDepartment of Radiology, UHC Sestre Milosrdnice, Zagreb, Croatia.
Markus A MöhlenbruchDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany.
Luca ScarciaDepartment of Neuroradiology, Centre Hospitalier Universitaire Henri-Mondor, Créteil, France.
Tang Si ZhaoDivision of Interventional Radiology, Department of Diagnostic Imaging, National University Hospital (NUH), National University Health System (NUHS), Singapore, Singapore.
Peter B SpornsDepartment of Radiology and Neuroradiology, Stadtspital Zürich, Zurich, Switzerland.
Anil GopinathanDivision of Interventional Radiology, Department of Diagnostic Imaging, National University Hospital (NUH), National University Health System (NUHS), Singapore, Singapore.
Robert W RegenhardtDepartment of Neurosurgery, The University of Texas Health Science Center at Houston, Houston, United States.
Spiros L BlackburnDepartment of Neurosurgery, The University of Texas Health Science Center at Houston, Houston, United States.
Clemens M SchirmerDepartment of Neurosurgery, Geisinger, Wilkes-Barre, United States.
Thien HuynhDepartment of Neurological Surgery and Radiology, Mayo Clinic in Florida, Jacksonville, United States.
Rabih G TawkDepartment of Neurological Surgery and Radiology, Mayo Clinic in Florida, Jacksonville, United States.
Fabio SettecaseNeurointerventional Surgery, Sutter Health California Pacific Medical Center, San Francisco, United States.
Pascal JabbourDepartment of Neurological Surgery, Thomas Jefferson University, Philadelphia, United States.
Kunal VakhariaDepartment of Neurosurgery & Brain Repair, University of South Florida, Tampa, United States.
Mario ZanatyDepartment of Neurology, Neurosurgery & Radiology, University of Iowa Healthcare, Iowa City, United States.
Santiago Ortega-GutierrezDepartment of Neurology, Neurosurgery & Radiology, University of Iowa Healthcare, Iowa City, United States.
Jesse G JonesUniversity of Alabama at Birmingham, Birmingham, United States.
Marco ColasurdoDepartment of Interventional Radiology and Neurosurgery, Oregon Health and Science University, Portland, United States.
Hussein H NasserDepartment of Radiology, Interventional Neuroradiology, Lehigh Valley Health Network, Allentown, United States.
Sri Hari SundararajanDepartment of Radiology, Interventional Neuroradiology, Lehigh Valley Health Network, Allentown, United States.
Pascal J MosimannInterventional and Diagnostic Neuroradiology, UMIT-JDMI-UHN INR, UofT, Toronto Western Hospital, Toronto, Canada.
Erez NossekDepartment of Radiology and Neurosurgery, NYU Langone Health, New York, United States.
Eytan RazDepartment of Radiology and Neurosurgery, NYU Langone Health, New York, United States.
Alejandro M SpiottaDepartment of Neurosurgery, Medical University of South Carolina, Charleston, United States.
Bruno Del SetteUnit of Neuroradiology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Ali AlarajDepartment of Neurosurgery, University of Illinois Chicago, Chicago, United States.
Caterina MichelozziInterventional Neuroradiology Division, San Raffaele University Hospital, Milano, Italy.
Davide SaracenoInterventional Neuroradiology Division, San Raffaele University Hospital, Milano, Italy.
Pietro PanniInterventional Neuroradiology Division, San Raffaele University Hospital, Milano, Italy.
Visish M SrinivasanDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, United States.
Jan-Karl BurkhardtDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, United States.
Gaultier MarnatNeuroradiology Department, Université de Bordeaux, Bordeaux, France.
Pietro Mario SantiniNeuroradiology Department, Université de Bordeaux, Bordeaux, France.
Michael R LevittDepartment of Neurological Surgery, University of Washington, Seattle, United States.
Giuseppe LanzinoDepartment of Neurological Surgery and Radiology, Mayo Clinic, Rochester, United States.
Jared KnopmanDepartment of Neurological Surgery, Weill Cornell Medicine/New York-Presbyterian Hospital, New York, United States.
Vitor Mendes PereiraNeurovascular Centre & RADIS Lab, St. Michael's Hospital, University of Toronto, Toronto, Canada.
Tufail PatankarInstitute of Therapeutic Neuroradiology, Queens Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Romford, United Kingdom.
Adam A DmytriwNuffield Department of Surgical Sciences, Medical Sciences Division, University of Oxford, Oxford, United Kingdom.
David J AltschulDepartment of Neurological Surgery and Radiology, Albert Einstein College of Medicine, Bronx, United States.
Mesh CollaboratorsDepartment of Neurological Surgery and Radiology, Albert Einstein College of Medicine, Bronx, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMiddle meningeal artery embolization (MMAE) plus surgical evacuation is increasingly used for chronic subdural hematoma (cSDH), but predictors of length of stay (LOS) and outcomes associated with early discharge remain unclear.

methodsWe performed a multicenter MESH Registry study (2019-2024) of patients undergoing MMAE and surgical evacuation for symptomatic cSDH. Short-stay discharge was defined as LOS ≤4 days. Predictors were identified using multivariable logistic regression. The 90-day composite adverse event was defined as cSDH recurrence requiring intervention, reintervention (repeat MMAE or surgical evacuation), or 30-day all-cause readmission. Safety was assessed using adjusted logistic regression, generalized estimating equations (GEE), inverse probability of treatment weighting (IPTW), and multiple imputation by chained equations (MICE).

resultsAmong 647 patients (mean age 72.6 years; 74.0% male), 156 (24.1%) had short-stay discharge. Median LOS was 8 days (IQR 5-15). Older age (aOR 0.76 per 10 years; 95% CI 0.62-0.93; P = 0.008), higher baseline modified Rankin Scale score (aOR 0.79 per point; 95% CI 0.67-0.94; P = 0.007), and greater midline shift (aOR 0.90 per mm; 95% CI 0.85-0.96; P = 0.001) were independently associated with lower odds of short-stay discharge. C‑statistic was 0.683. The 90-day composite event rate was 17.1% in short-stay versus 23.7% in long-stay patients. Short-stay discharge was not significantly associated with the composite outcome on adjusted analysis (aOR 0.56; 95% CI 0.30-1.07; P = 0.08), GEE (aOR 0.61; 95% CI 0.33-1.12; P = 0.11), or MICE (aOR 0.74; 95% CI 0.44-1.25; P = 0.26). IPTW showed a discordant association (OR 0.47; 95% CI 0.24-0.92; P = 0.03).

conclusionsOlder age, worse baseline function, and midline shift were associated with longer hospitalization. Short-stay discharge was not associated with a statistically significant increase in adverse-event rates; however, the study was not powered to establish non-inferiority or safety equivalence, and clinically meaningful differences cannot be excluded.

Indexed as

AdmissionChronic subdural hematomaDischargeLength of stayMiddle meningeal artery embolization

Identifiers

PMID42622854

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