{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:15:01Z","timestamp":1787724901350,"version":"build-2784847793"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"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":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Middle meningeal artery embolization (MMAe) is increasingly utilized as a primary or secondary treatment for chronic subdural hematoma (cSDH) and is usually performed with liquid embolics or particles. Outcomes after MMAe with coiling as a standalone treatment, or an adjunct to other agents, have not been reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of the literature was performed to identify all original research that included patients who underwent standalone or adjunctive coiling for MMAe. The primary outcome was the need for rescue treatment defined as any unplanned reintervention for recurrent or residual cSDH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 10 studies comprising 346 patients (mean age 73 years, 39% female) who underwent MMAe with coils were included. The majority of embolizations were with coils and particles (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009176), followed by standalone coiling (137) and coiling with liquid embolics (120). The pooled rate of rescue treatment after embolization was 9.4% (95% CI 6.4\u201313.6,\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u20090). The pooled complication rate was 2.6% (95% CI 1.3\u20135.1,\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u20090). In the subgroup analysis of four studies reporting results after standalone coiling, the pooled rescue treatment rate was 8.2% (95% CI 4.0\u201315.9,\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u20090) and there were no complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MMAe with coils is safe and potentially effective, but additional studies evaluating long-term clinical and radiographic results after standalone coiling are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199241304852","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T05:26:33Z","timestamp":1733981193000},"page":"1806-1814","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Middle meningeal artery embolization with standalone or adjunctive coiling for treatment of chronic subdural hematoma: Systematic review and meta-analysis"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2967-6528","authenticated-orcid":false,"given":"Haydn","family":"Hoffman","sequence":"first","affiliation":[{"name":"Semmes Murphey Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3393-0356","authenticated-orcid":false,"given":"Jason J.","family":"Sims","sequence":"additional","affiliation":[{"name":"The University of Tennessee Health Sciences Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Nickele","sequence":"additional","affiliation":[{"name":"Semmes Murphey Clinic"},{"name":"The University of Tennessee Health Sciences Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0399-3346","authenticated-orcid":false,"given":"Violiza","family":"Inoa","sequence":"additional","affiliation":[{"name":"Semmes Murphey Clinic"},{"name":"The University of Tennessee Health Sciences Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Elijovich","sequence":"additional","affiliation":[{"name":"Semmes Murphey Clinic"},{"name":"The University of Tennessee Health Sciences Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Goyal","sequence":"additional","affiliation":[{"name":"Semmes Murphey Clinic"},{"name":"The University of Tennessee Health Sciences Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2014.163"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2022.06.099"},{"key":"e_1_3_3_4_2","first-page":"10","article-title":"Impact of embolisate penetration, type, and technique on results after standalone middle meningeal artery embolization for chronic subdural hematoma","author":"Ma L","year":"2024","unstructured":"Ma L, Hoz SS, Doheim MF, et al. Impact of embolisate penetration, type, and technique on results after standalone middle meningeal artery embolization for chronic subdural hematoma. Neurosurgery 2024: 10\u20131227.","journal-title":"Neurosurgery"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2004.09.015"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2001.95.2.0256"},{"key":"e_1_3_3_7_2","first-page":"159101992412344","article-title":"Simple coiling of middle meningeal artery embolization for chronic subdural hematoma: an inverse probability of treatment weighting matched cohort study","author":"Perng PS","year":"2024","unstructured":"Perng PS, Chuang MT, Wong CE, et al. Simple coiling of middle meningeal artery embolization for chronic subdural hematoma: an inverse probability of treatment weighting matched cohort study. Intervent Neuroradiol 2024: 15910199241234407.","journal-title":"Intervent Neuroradiol"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2016.11.002"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4103\/2152-7806.116679"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12974-017-0881-y"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A7077"},{"key":"e_1_3_3_12_2","article-title":"Middle meningeal artery embolization for chronic subdural hematoma: a review of established and emerging embolic agents","volume":"4","author":"Tudor T","year":"2023","unstructured":"Tudor T, Capone S, Vivanco-Suarez J, et al. Middle meningeal artery embolization for chronic subdural hematoma: a review of established and emerging embolic agents. 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