Middle meningeal artery embolization using cone-beam computed tomography augmented guidance in patients with cancer Journal Article
| Authors: | Dzaye, O.; Brahmbhatt, A.; Abajian, A.; Moussa, A. M.; Yu, K. K. H.; Moss, N. S.; Newman, W. C.; Lis, E.; Tabar, V.; Cornelis, F. H. |
| Article Title: | Middle meningeal artery embolization using cone-beam computed tomography augmented guidance in patients with cancer |
| Abstract: | Purpose: The purpose of this study was to evaluate the safety and efficacy of middle meningeal artery embolization (MMAE) performed under cone-beam computed tomography (CBCT) augmented guidance in patients with cancer. Materials and methods: Eleven patients with cancer (seven women, four men; median age, 75 years; age range: 42–87 years) who underwent 17 MMAEs under CBCT with a combination of particles and coils for chronic subdural hematoma (SDH) (n = 6), postoperative SDH (n = 3), or preoperative embolization of meningeal tumor (n = 2) from 2022 to 2023 were included. Technical success, fluoroscopy time (FT), reference dose (RD), kerma area product (KAP) were analyzed. Adverse events and outcomes were recorded. Results: The technical success rate was 100% (17/17). Median MMAE procedure duration was 82 min (interquartile range [IQR]: 70, 95; range: 63–108 min). The median FT was 24 min (IQR: 15, 48; range: 21.5–37.5 min); the median RD was 364 mGy (IQR: 37, 684; range: 131.5–444.5 mGy); and the median KAP was 46.4 Gy.cm2 (9.6, 104.5; range: 30.2–56.6 Gy.cm2). No further interventions were needed. The adverse event rate was 9% (1/11), with one pseudoaneurysm at the puncture site in a patient with thrombocytopenia, which was treated by stenting. The median follow-up was 48 days (IQR; 14, 251; range: 18.5–91 days]. SDH reduced in 11 of 15 SDHs (73%) as evidenced by follow-up imaging, with a size reduction greater than 50% in 10/15 SDHs (67%). Conclusion: MMAE under CBCT is a highly effective treatment option, but appropriate patient selection and careful consideration of potential risks and benefits is important for optimal patient outcomes. © 2023 Société française de radiologie |
| Keywords: | interventional radiology; cone-beam computed tomography; embolization; middle meningeal artery; cancer |
| Journal Title: | Diagnostic and Interventional Imaging |
| Volume: | 104 |
| Issue: | 7-8 |
| ISSN: | 2211-5684 |
| Publisher: | Elsevier Masson |
| Date Published: | 2023-07-01 |
| Start Page: | 368 |
| End Page: | 372 |
| Language: | English |
| DOI: | 10.1016/j.diii.2023.03.007 |
| PUBMED: | 36973119 |
| PROVIDER: | scopus |
| PMCID: | PMC10625426 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding author is MSK author Francois H. Cornelis -- Source: Scopus |
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