脑膜中动脉栓塞治疗急性外伤性硬脑膜外血肿的疗效分析

目的 观察脑膜中动脉(MMA)栓塞治疗急性外伤性硬脑膜外血肿(ATEDH)的有效性和安全性.方法 回顾性分析2010年1月至2020年1月在海军军医大学(第二军医大学)长海医院脑血管病中心接受MMA栓塞治疗的40例ATEDH患者资料.患者于发病24 h内行局部麻醉下数字减影血管造影(DSA)+MMA栓塞术,介入栓塞术后...

Middle meningeal artery embolization in treating acute traumatic epidural hematoma: an analysis of efcacy

Aim: To evaluate the efficacy and safety of middle meningeal artery embolization in dealing with acute traumatic epidural hematoma. Methods: Forty cases of acute traumatic epidural hematoma who received neurosurgical treatment from January 2010 to January 2020 were retrospectively analyzed. These patients received cerebral angiography under local anesthesia within 24 hours after on set. Middle meningeal artery embolization was performed after meningeal artery was confirmed to be the relevant vessel. Borehole drainage was performed according to the consciousness and the volume of hematoma after the embolization. The volumes of hematomas before and 6 months after the operation were measured. The Glasgow coma scores with prognostic scores were acquired before the operation, before discharge, and 6 months after the operation. Results: The bleeding was immediately stabilized after endovascular embolization. Simple embolization was performed in 8 cases, and embolization combining with borehole drainage was performed in 32 cases. Conclusion: Middle meningeal artery embolization effectively limited the progression of acute traumatic epidural hematoma and reduced the risk of recurrent hemorrhage, which reduced the requirement of further invasive operations.