Middle Meningeal Artery Embolisation for Chronic Subdural Haematoma-Time for a Paradigm Shift?.

Abstract

Chronic subdural haematoma (CSDH) is a common condition and surgical intervention is the mainstay of treatment. Recurrence rates are high and this patient cohort is frequently elderly, comorbid, or both. Middle meningeal artery (MMA) embolisation has emerged as a technique to manage CSDH, either as an adjunct or as a stand-alone procedure. Three recently published trials have added to the evidence in favour of this technique. MMA embolisation seems set to become commonplace but more evidence is needed to understand in which cases it should be considered.