Elective outpatient middle meningeal artery embolization for chronic subdural hematoma is safe.

IF 4.5 1区 医学 Q1 NEUROIMAGING Journal of NeuroInterventional Surgery Pub Date : 2024-12-18 DOI:10.1136/jnis-2024-022568
Margaret McGrath, Aaron Gallagher, Spencer Raub, Kate T Carroll, Zachary A Abecassis, Juan Francisco Ruiz Rodriguez, Brandon D Philbrick, Christopher P Kellner, Georgios S Sioutas, Kyle Scott, Visish M Srinivasan, Jan-Karl Burkhardt, Hamza A Shaikh, Jane Khalife, Daniel A Tonetti, Nicholas Lam, William J Ares, Santiago Gomez-Paz, Karol Budohoski, Ramesh Grandhi, Michael R Levitt
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引用次数: 0

Abstract

Background: Middle meningeal artery embolization (MMAE) is a safe and effective treatment for chronic subdural hematoma (cSDH); however, the appropriate level of postoperative care is unknown.

Objective: To evaluate whether elective MMAE for cSDH could be safely performed in an outpatient setting.

Methods: This was a multicenter, retrospective study of patients with cSDH who underwent elective MMAE. Patients were categorized as either inpatient (admitted for ≥1 night of hospitalization after MMAE) or outpatient (discharged on the same day of MMAE). Patient demographics, radiological data, procedural details, and follow-up data were collected. The primary endpoint was periprocedural complications, and secondary outcomes included emergency department (ED) visits or unplanned readmission within 24 hours, 1-7 days, and 8-30 days after MMAE.

Results: Elective MMAE procedures were carried out in 190 patients, of which 45.3% (n=86) were outpatient procedures and 54.7% (n=104) inpatient. There were 7 (3.7%) periprocedural complications (one outpatient, six inpatient; P=0.12). Five patients presented to the ED and were readmitted within 24 hours of MMAE (three outpatient, two inpatient). Six patients presented to the ED 1-7 days after MMAE (three outpatient, three inpatient); three were subsequently admitted (one outpatient and two inpatient). Nine patients presented to the ED 8-30 days after MMAE (two outpatient and seven inpatient); three were subsequently readmitted (all inpatient). No elective outpatient MMAE resulted in a readmission attributable to the procedure within the examined time frame.

Conclusion: Elective MMAE can be safely performed as an outpatient procedure without increased risk of postprocedural adverse events in most eligible patients with cSDH.

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来源期刊
CiteScore
9.50
自引率
14.60%
发文量
291
审稿时长
4-8 weeks
期刊介绍: The Journal of NeuroInterventional Surgery (JNIS) is a leading peer review journal for scientific research and literature pertaining to the field of neurointerventional surgery. The journal launch follows growing professional interest in neurointerventional techniques for the treatment of a range of neurological and vascular problems including stroke, aneurysms, brain tumors, and spinal compression.The journal is owned by SNIS and is also the official journal of the Interventional Chapter of the Australian and New Zealand Society of Neuroradiology (ANZSNR), the Canadian Interventional Neuro Group, the Hong Kong Neurological Society (HKNS) and the Neuroradiological Society of Taiwan.
期刊最新文献
Urgent carotid endarterectomy with distal mechanical thrombectomy. Correspondence on 'Evaluating the effects of recreational drug use on ruptured cerebral arteriovenous malformation presentation and in-hospital outcomes: a national inpatient sample analysis' by Gajjar et al. CT perfusion for lesion-symptom mapping in large vessel occlusion ischemic stroke. Can intracranial vessel wall MR imaging help make high risk procedures safer? Elective outpatient middle meningeal artery embolization for chronic subdural hematoma is safe.
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