{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:53:38Z","timestamp":1777730018075,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      While middle meningeal artery embolization (MMAE) has been shown to be feasible for recurrent subdural hematoma (SDH) after craniotomy, large traumatic craniotomies exceeding 8000\u2005mm\n                      <jats:sup>2<\/jats:sup>\n                      have typically been excluded. In this novel case series, we assess the feasibility and efficacy of MMAE in treating recurrent SDH following large open neurosurgical intervention (non-burr hole or bedside procedures). In all cases, a portion of the middle meningeal artery (MMA) territory remained patent and was successfully embolized.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified five cases of recurrent SDH who underwent MMAE after ipsilateral or contralateral craniotomy at a single institution between 2020 and 2023. Burr hole and bedside craniotomies were excluded. Demographic, clinical, and operative data were collected and presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five patients underwent MMAE following large frontotemporoparietal craniotomies for SDH evacuation (mean size: 10,938\u2005mm\n                      <jats:sup>2<\/jats:sup>\n                      ). Both transradial and transfemoral approaches were used, and technical success was achieved in all five patients. In each case, a minimum of the posterior division of the MMA was patent and embolized. No complications were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case series provides preliminary evidence that MMAE is feasible and effective even after large frontotemporoparietal craniotomy. Neurointerventionalists should not exclude patients with craniotomies exceeding 8000\u2005mm\u00b2 from consideration for MMAE to treat ipsilateral recurrent SDH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199251361309","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T08:16:18Z","timestamp":1753344978000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of middle meningeal artery embolization following large craniotomy: A case series"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5643-9480","authenticated-orcid":false,"given":"Zachary S","family":"Hubbard","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conor M","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9635-7471","authenticated-orcid":false,"given":"Rahim Abo","family":"Kasem","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, South Carolina, USA"},{"name":"Department of Neurosurgery, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6926-1339","authenticated-orcid":false,"given":"Joshua M","family":"Venegas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2005-5781","authenticated-orcid":false,"given":"Ariana","family":"Chacon","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3138-3484","authenticated-orcid":false,"given":"Julio","family":"Isidor","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro M","family":"Spiotta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3171\/2020.7.FOCUS20518"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2017170053"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.11.167"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3171\/2022.10.JNS221476"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3171\/2022.9.JNS221663"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/SVIN.122.000490"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-024-02383-3"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2313472"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2409845"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2024.110783"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2401201"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.241571"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-021-01548-8"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2005.22.623"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1227\/ONS.0000000000000010"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199211065197"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199221074884"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.990722"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199211065197"}],"updated-by":[{"DOI":"10.1177\/15910199261444853","type":"expression_of_concern","label":"Expression 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