Risk of recurrence of subdural hematoma after EMMA vs surgical drainage - Systematic review and meta-analysis.
Interv Neuroradiol
; 27(4): 577-583, 2021 Aug.
Article
em En
| MEDLINE
| ID: mdl-33525919
ABSTRACT
OBJECTIVE:
Chronic subdural hematoma (CSDH) is a common and debilitating neurological condition whose treatments, including burr hole drainage and craniotomy, suffer from high rates of recurrence and complication. Embolization of the middle meningeal artery (EMMA) is a promising minimally invasive approach to manage CSDH in a broad set of patients.METHODS:
To evaluate the efficacy and safety of EMMA, a database search was conducted including the terms "subdural hematoma; embolization; embolized; middle meningeal" was performed and yielded a total of 260 results. Following exclusion based on predefined criteria, a total of four studies were identified and outcomes including recurrence rates and complication rates were extracted for analysis.RESULTS:
Four studies including intervention and control groups were included with a total of n = 888 patients. The relative risk of CSDH recurrence in the EMMA (3.5%) compared to control group (23.5%) was significantly reduced when EMMA was performed (risk ratio = 0.17; 95% confidence interval (CI) 0.05-0.67). In addition, rates of complication were not significantly different between patients with conventional therapy and those who received EMMA (OR = 0.77; 95 confidence interval (CI) 0.3-1.99).CONCLUSION:
Based on limited data, EMMA reduces the risk of recurrence by 20% compared to surgical treatment for CSDH.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hematoma Subdural Crônico
/
Embolização Terapêutica
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article