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ORIGINAL RESEARCH article

Front. Neurol.
Sec. Endovascular and Interventional Neurology
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1502408
This article is part of the Research Topic Neuroanatomical Considerations and Advances in Approaches for Cerebral Arteriovenous Malformations View all 4 articles

Clinical study on the treatment of acute epidural hematoma by embolization of middle meningeal artery through radial artery access combined with minimally invasive burr hole drainage

Provisionally accepted
Cui Zhang Cui Zhang Qingbo Wang Qingbo Wang Chenglong Li Chenglong Li Zixuan Jing Zixuan Jing Xinyu Zhao Xinyu Zhao Chen Yang Chen Yang Zefu Li Zefu Li *
  • Binzhou Medical University Hospital, Binzhou, China

The final, formatted version of the article will be published soon.

    Objectives: This study aims to evaluate the clinical effectiveness of using coil embolization via radial artery access, combined with drilling and drainage, as a minimally invasive treatment for acute epidural hematoma compared to traditional craniotomy.Materials and Methods: A retrospective analysis was conducted on 134 patients with acute epidural hematoma treated at the Department of Neurosurgery, Binzhou Medical University Hospital, between January 2020 and April 2023. Among these patients, 37 underwent embolization of the middle meningeal artery through radial artery access combined with burr hole drainage, while 97 patients underwent craniotomy for hematoma removal. The 37 patients treated with embolization were designated as the experimental group, while the remaining 97 patients formed the control group. General patient characteristics, operation duration, intraoperative blood loss, postoperative complications, and Glasgow Coma Scale (GCS) scores upon admission and discharge were recorded and compared between the two groups.Results: In comparison to the control group, the experimental group exhibited higher rates of postoperative hematoma residuals and longer average postoperative drainage times. Nevertheless, the experimental group demonstrated several advantages including shorter operation durations, reduced intraoperative bleeding, lower rates of postoperative rebleeding and complications, as well as decreased requirements for postoperative blood transfusions and transfusion volumes.Conclusion: The surgical approach involving coil embolization via radial artery access combined with minimally invasive burr hole drainage yields favorable clinical outcomes. This technique presents as a viable treatment option for acute epidural hematoma resulting from middle meningeal artery hemorrhage.

    Keywords: Acute epidural hematoma, middle meningeal artery embolization, Endovascular interventional embolization therapy, distal radial artery access, Burr hole drainage, Intracranial hematoma removal

    Received: 26 Sep 2024; Accepted: 28 Jan 2025.

    Copyright: © 2025 Zhang, Wang, Li, Jing, Zhao, Yang and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Zefu Li, Binzhou Medical University Hospital, Binzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.