Qiao Yang, Zhang Yi Jonathan, Tsappidi Samuel, Mehta Tej I, Hui Ferdinand K
Department of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Interv Neuroradiol. 2024 Jan 9:15910199231225832. doi: 10.1177/15910199231225832.
Middle meningeal artery embolization has become an important option in the management of subdural hemorrhages with multiple prospective studies demonstrating efficacy and randomized controlled trial data on the way. Access to the middle meningeal artery is usually achieved via the external carotid artery to the internal maxillary artery, then the middle meningeal artery. We report a case where a patient with symptomatic left-sided chronic subdural hemorrhage also had an external carotid artery occlusion. Direct puncture of the superficial temporal artery allowed retrograde access to the internal maxillary artery and thus the middle meningeal artery. Successful embolization of the vessel with 1:9 nBCA was performed with near total resorption of the subdural collection by 1 month postprocedure.
脑膜中动脉栓塞术已成为治疗硬膜下出血的重要选择，多项前瞻性研究证明了其有效性，随机对照试验数据也即将出炉。通常经颈外动脉至颌内动脉，再到达脑膜中动脉来进入脑膜中动脉。我们报告一例有症状的左侧慢性硬膜下出血患者，其颈外动脉闭塞。直接穿刺颞浅动脉可逆行进入颌内动脉，进而进入脑膜中动脉。用1:9的nBCA成功栓塞该血管，术后1个月硬膜下血肿几乎完全吸收。
