{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:55:23Z","timestamp":1791392123637,"version":"4.3.3"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T00:00:00Z","timestamp":1704153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endovascular embolization of the middle meningeal artery (MMA) has emerged as an adjunctive and stand-alone modality for the management of chronic subdural hematomas (cSDH). We report our experience utilizing proximal MMA coil embolization to augment cSDH devascularization in MMA embolization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>MMA embolization cases with adjunctive proximal MMA coiling were retrospectively identified from a prospectively maintained IRB-approved database of the senior authors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 137 cases, all patients (n\u2009=\u200989, 100%) were symptomatic and underwent an MMA embolization procedure for cSDH. 50 of the patients underwent bilateral embolizations, with 53% (n\u2009=\u200972) for left-sided and 47% (n\u2009=\u200965) for right-sided cSDH. The anterior MMA branch was embolized in 19 (14%), posterior in 16 (12%), and both in 102 (74.5%) cases. Penetration of the liquid embolic to the contralateral MMA or into the falx was present in 38 (28%) and 31 (23%) cases, respectively, and 46 (34%) cases had ophthalmic or petrous collateral (n\u2009=\u200941, 30%) branches. MMA branches coiled include the primary trunk (25.5%, n\u2009=\u200935), primary and anterior or posterior MMA trunks (20%, n\u2009=\u200928), or primary with the anterior and posterior trunks (54%, n\u2009=\u200974). A mild ipsilateral facial nerve palsy was reported, which remained stable at discharge and follow-up. Absence of anterograde flow in the MMA occurred in 137 (100%) cases, and no cases required periprocedural rescue surgery for cSDH evacuation. The average follow-up length was 170\u2009\u00b1\u200917.9 days, cSDH was reduced by 4.24\u2009\u00b1\u20090.5(mm) and the midline shift by 1.46\u2009\u00b1\u20090.27(mm). Complete resolution was achieved in 63 (46.0%) cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Proximal MMA coil embolization is a safe technique for providing additional embolization\/occlusion of the MMA in cSDH embolization procedures. Further studies are needed to evaluate the potential added efficacy of this technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199231224003","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T00:52:41Z","timestamp":1704243161000},"page":"600-606","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Immediate procedural safety of adjunctive proximal coil occlusion in middle meningeal artery embolization for chronic subdural hematomas: Experience in 137 cases"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1075-0764","authenticated-orcid":false,"given":"Jessica K","family":"Campos","sequence":"first","affiliation":[{"name":"University of California Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5773-1619","authenticated-orcid":false,"given":"Benjamen M","family":"Meyer","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Arizona, Tucson, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A","family":"Zarrin","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Waqas","family":"Khan","sequence":"additional","affiliation":[{"name":"Carondelet Neurological Institute, St Joseph's Hospital, Tucson, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan C","family":"Collard de Beaufort","sequence":"additional","affiliation":[{"name":"Syracuse University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gizal","family":"Amin","sequence":"additional","affiliation":[{"name":"Carondelet Neurological Institute, St Joseph's Hospital, Tucson, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B","family":"Avery","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Banner University Medical Center \/ The University of Arizona, Tucson, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiarash","family":"Golshani","sequence":"additional","affiliation":[{"name":"University of California Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narlin B","family":"Beaty","sequence":"additional","affiliation":[{"name":"Tallahassee Memorial Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T","family":"Bender","sequence":"additional","affiliation":[{"name":"University of Rochester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey P","family":"Colby","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Mei","family":"Lin","sequence":"additional","affiliation":[{"name":"Carondelet Neurological Institute, St Joseph's Hospital, Tucson, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander L","family":"Coon","sequence":"additional","affiliation":[{"name":"Carondelet Neurological Institute, St Joseph's Hospital, Tucson, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2016.11.002"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.01.050"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.06.140"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyaa379"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/19714009221150857"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surneu.2006.11.033"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1227\/ONS.0000000000000010"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2023.2166116"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2023.01.077"},{"key":"e_1_3_2_11_2","article-title":"Middle meningeal artery embolization and the treatment of a chronic subdural hematoma","volume":"13","author":"D\u00e9sir LL","year":"2021","unstructured":"D\u00e9sir LL, D'Amico R, Link T, et al. 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