Novel Minimally Invasive Treatment Strategy for Acute Traumatic Epidural Hematoma: Endovascular Embolization Combined with Drainage Surgery and Use of Urokinase

• Published in: World neurosurgery Vol. 110; pp. 206 - 209
• Main Authors: Zhang, Yuhui, Li, Qiang, Zhao, Rui, Yang, Zhigang, Li, Yanan, Min, Weijie, Yue, Zhijian, Liu, Jianmin
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2018
• Subjects: Adolescent; Adult; Angiography, Digital Subtraction; Drainage - methods; Drainage surgery; Embolization; Embolization, Therapeutic - methods; Endovascular treatment; Epidural hematoma; Female; Hematoma, Epidural, Cranial - diagnostic imaging; Hematoma, Epidural, Cranial - drug therapy; Hematoma, Epidural, Cranial - surgery; Humans; Male; Meningeal Arteries - diagnostic imaging; Meningeal Arteries - surgery; Middle Aged; Minimally Invasive Surgical Procedures - methods; Tomography, X-Ray Computed; Treatment Outcome; Urokinase-Type Plasminogen Activator - therapeutic use; Young Adult; MMA; CT; Endovascular treatment; Epidural hematoma; GCS; Drainage surgery; EDH; Embolization

Hematoma evacuation is regular treatment for acute traumatic epidural hematoma (ATEDH) patients meeting with surgery indications. However, it is an invasive approach performed under general anesthesia. Here, a novel minimally invasive method of endovascular embolization with subsequent drainage surg...