New research by Society of Neurolnterventional Surgery (SNIS) members found that adjunctive middle meningeal artery embolization (MMAE) for the treatment of chronic subdural hematoma (CSDH) resulted in a lower risk of treatment failure than standard treatment alone, without resulting in an increased incidence of disabling stroke or death in the...
Society of NeuroInterventional Surgery Nov 22 2024 New research by Society of Neurolnterventional Surgery members found that adjunctive middle meningeal artery embolization for the treatment of chronic subdural hematoma resulted in a lower risk of treatment failure than standard treatment alone, without resulting in an increased incidence of disabling stroke or death in the short term.
In light of these findings, SNIS is urging the field to consider MMAE as they plan treatment protocols, ensuring eligible CSDH patients have access to this safe and effective treatment. The existing standard of care for treating CSDH has a high rate of surgical failure. It involves either drilling holes into the skull to drain the blood or watchful waiting with various medical interventions for patients who do not require early surgical intervention and/or are poor surgical candidates. However, an average of 10% to 30% of patients experience recurrence of CSDH after surgery, often necessitating reoperation.
Adjunctive MMAE with liquid agents started in 2018 with two members of SNIS who went on to lead the pivotal STEM trial -; former SNIS President Adam Arthur, MD, MPH and David Fiorella, MD, PhD.
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