{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T03:01:12Z","timestamp":1771383672411,"version":"3.50.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute epidural hematoma (AEDH) is recognized as one of the most urgent neurosurgical conditions. Traditionally, the primary treatment for AEDH has involved craniotomy with surgical evacuation of the hematoma. However, with the widespread adoption of neurointerventional techniques, interest in their application to various forms of traumatic brain injuries has increased. Among these, embolization of the middle meningeal artery (MMA) has emerged as a minimally invasive treatment option for AEDH. This study evaluates the effectiveness of MMA embolization as a primary treatment for AEDH.<\/jats:p>\n                  <jats:p>We conducted a retrospective review of patients treated for AEDH with embolization of the MMA at our institution from January 2019 to July 2024. Patient demographics, clinical presentation, procedural details, and outcomes were analyzed.<\/jats:p>\n                  <jats:p>MMA embolization was successfully performed in 20 patients with AEDH, with only 2 cases requiring subsequent burr-hole evacuation. The thickness of the AEDH was 10\u2009mm or more in 47.8% of cases, and a midline shift was observed in 65.2% of cases. The most common angiographic findings included arteriovenous fistulas (AVFs) and contrast extravasation. N-butyl cyanoacrylate was used as the embolic material in all cases. In one case, Squid 12 was added to enhance penetration at sites of extravasation. No patients experienced recurrent AEDH postintervention.<\/jats:p>\n                  <jats:p>MMA embolization is a promising minimally invasive treatment for AEDH, showing effectiveness as both a primary and adjuvant therapy. Future prospective multicenter studies are needed to validate preliminary findings and optimize treatment protocols for this high-risk patient population.<\/jats:p>","DOI":"10.1055\/a-2590-6108","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T19:26:51Z","timestamp":1744918011000},"page":"092-098","source":"Crossref","is-referenced-by-count":0,"title":["Middle Meningeal Artery Embolization for Acute Epidural Hematomas: A Promising Alternative to Traditional Surgery"],"prefix":"10.1055","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2615-269X","authenticated-orcid":false,"given":"Artem","family":"Stanishevskiy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Military Medical Academy named after S M Kirov of the Ministry of Defense of the Russian Federation, Saint Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantin","family":"Babichev","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Military Medical Academy named after S M Kirov of the Ministry of Defense of the Russian Federation, Saint Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arevik","family":"Abramyan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Rutgers the State University of New Jersey, New Brunswick, New Jersey, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dmitriy","family":"Svistov","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Military Medical Academy named after S M Kirov of the Ministry of Defense of the Russian Federation, Saint Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Savello","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Military Medical Academy named after S M Kirov of the Ministry of Defense of the Russian Federation, Saint Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Martynov","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Military Medical Academy named after S M Kirov of the Ministry of Defense of the Russian Federation, Saint Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Djamalud","family":"Isaev","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Military Medical Academy named after S M Kirov of the Ministry of Defense of the Russian Federation, Saint Petersburg, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,18]]},"reference":[{"issue":"01","key":"ref1","first-page":"40","article-title":"[Unusual forms of epidural hematoma]","volume":"17","author":"A Schulze","year":"1957","journal-title":"Zentralbl Neurochir"},{"issue":"455","key":"ref2","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1259\/0007-1285-38-455-835","article-title":"Truths and untruths concerning the angiographic findings in extracerebal haematomas","volume":"38","author":"L H Zingesser","year":"1965","journal-title":"Br J Radiol"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.3171\/2020.7.FOCUS20518","article-title":"Middle meningeal artery embolization treatment of nonacute subdural hematomas in the elderly: a multiinstitutional experience of 151 cases","volume":"49","author":"E Joyce","year":"2020","journal-title":"Neurosurg Focus"},{"issue":"05","key":"ref4","first-page":"71","article-title":"Middle meningeal artery embolization for chronic subdural haematoma. Case series and literature review","volume":"85","author":"A V Stanishevsky","year":"2021","journal-title":"J Neurosurg"},{"issue":"07","key":"ref5","first-page":"1177","article-title":"Efficacy of endovascular surgery for the treatment of acute epidural hematomas","volume":"25","author":"S Suzuki","year":"2004","journal-title":"AJNR Am J Neuroradiol"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1227\/01.neu.0000316008.11388.f2","article-title":"Intracranial vascular lesions associated with small epidural hematomas","volume":"62","author":"A F de Andrade","year":"2008","journal-title":"Neurosurgery"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.3171\/2008.7.JNS0883","article-title":"Embolization of the middle meningeal artery for the treatment of epidural hematoma","volume":"110","author":"I B Ross","year":"2009","journal-title":"J Neurosurg"},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1007\/s00234-011-1003-7","article-title":"Traumatic middle meningeal artery pseudoaneurysms: diagnosis and endovascular treatment of two cases and review of the literature","volume":"54","author":"D Jussen","year":"2012","journal-title":"Neuroradiology"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"383","DOI":"10.3109\/02688697.2012.717981","article-title":"Extradural haemorrhage: is there a role for endovascular treatment?","volume":"27","author":"S Lammy","year":"2013","journal-title":"Br J Neurosurg"},{"issue":"11","key":"ref10","doi-asserted-by":"crossref","first-page":"829","DOI":"10.2176\/nmc.52.829","article-title":"Combined endovascular and endoscopic surgery for acute epidural hematoma in a patient with poor health","volume":"52","author":"T Ohshima","year":"2012","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"167","DOI":"10.13004\/kjnt.2015.11.2.167","article-title":"Intraoperative endovascular embolization of middle meningeal artery and a pseudoaneurysm by using N-butyl 2-cyanoacrylate for hemostasis during operation of acute epidural hemorrhage","volume":"11","author":"D H Kim","year":"2015","journal-title":"Korean J Neurotrauma"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"134","DOI":"10.5797\/jnet.cr.2016-0055","article-title":"A case of the growing epidural hematoma treated with the embolization of the middle meningeal artery","volume":"10","author":"J Son","year":"2016","journal-title":"J Neuroendovasc Ther"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.3171\/2016.11.JNS161398","article-title":"Endovascular management of acute epidural hematomas: clinical experience with 80 cases","volume":"128","author":"C MA Peres","year":"2018","journal-title":"J Neurosurg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.wneu.2017.11.047","article-title":"Novel minimally invasive treatment strategy for acute traumatic epidural hematoma: endovascular embolization combined with drainage surgery and use of urokinase","volume":"110","author":"Y Zhang","year":"2018","journal-title":"World Neurosurg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.wneu.2019.05.084","article-title":"Middle meningeal artery embolization for the treatment of an expanding epidural hematoma","volume":"128","author":"B M Zussman","year":"2019","journal-title":"World Neurosurg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"824","DOI":"10.3389\/fneur.2020.00824","article-title":"Application of absolute alcohol in the treatment of traumatic intracranial hemorrhage via interventional embolization of middle meningeal artery","volume":"11","author":"G Fan","year":"2020","journal-title":"Front Neurol"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"20","DOI":"10.7461\/jcen.2020.22.1.20","article-title":"Middle meningeal artery embolization to treat progressive epidural hematoma: a case report","volume":"22","author":"T J Park","year":"2020","journal-title":"J Cerebrovasc Endovasc Neurosurg"},{"issue":"05","key":"ref18","first-page":"16","article-title":"Embolization of the middle shell artery in the treatment of small epidural hematomas","volume":"4","author":"K N Babichev","year":"2021","journal-title":"J Emerg Surg."}],"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2590-6108.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T02:02:03Z","timestamp":1771380123000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2590-6108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":18,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,2,12]]},"published-print":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2590-6108","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,4,17]]},"published":{"date-parts":[[2025,4,17]]}}}