Hematoma Capsule Spanning the Sylvian Fissure and Non-Blocking the Middle Meningeal Artery During Surgery Are Associated With Postoperative Recurrence of Chronic Subdural Hematoma.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zent Clive S, Tiacci Enrico, Kreitman Robert J, Tadmor Tamar, Tallman Martin S, Wörmann Bernhard, Andritsos Leslie A, Arons Evgeny, Banerji Versha, Barrientos Jacqueline C, Bhat Seema A, Blachly James S, Broccoli Alessandro, Call Timothy G, Dearden Claire, Demeter Judit, Dietrich Sascha, El-Sharkawi Dima, Fagarasanu Andrei, Falini Brunangelo, Forconi Francesco, Gerrie Alina S, Gladstone Douglas E, Gozzetti Alessandro, Hampel Paul J, Hermel David J, Iyengar Sunil, Johnston James B, Juliusson Gunnar, Kipps Thomas J, Lauria Francesco, Lozanski Gerard, Parikh Sameer A, Park Jae H, Polliack Aaron, Quest Graeme, Rai Kanti, Ravandi Farhad, Robak Tadeusz, Rogers Kerry A, Saven Alan, Seymour John F, Tam Constantine S, Troussard Xavier, Zenz Thorsten, Zinzani Pier Luigi, Grever Michael R
Аннотация
OBJECTIVE: This study aimed to identify factors influencing recurrence following neuroendoscopic-assisted drainage.
METHODS: CSDH patients who underwent neuroendoscopy-assisted hematoma drainage(NEAHD) via a single burr-hole craniostomy between January 2021 and August 2024 were categorized based on the presence or absence of postoperative hematoma recurrence. Binary logistic regression analysis was performed on the variables that showed statistically significant inter-group differences in univariate analyses.
RESULTS: In total, 121 patients with CSDH were included. The recurrence group consisted of 17 patients (14.05%). Gender, age, smoking, alcoholism, hypertension or diabetes, perioperative use of statins, hematoma thickness, midline deviation distance, and direction, depth, and retention time of the drainage tube were not associated with hematoma recurrence. In contrast, hematoma capsule spanning the Sylvian fissure (P < 0.001; OR = 12.504; 95% CI, 3.091-50.583) and non-blocking the main trunk or major branches of the middle meningeal artery (MMA) (P = 0.006; OR = 9.955; 95% CI, 1.911-51.848) were the independent risk factors for hematoma recurrence after NEAHD surgery.
CONCLUSION: Spanning of the hematoma capsule over the Sylvian fissure and absence of intraoperative occlusion of the middle meningeal artery are independent risk factors for recurrence. These features should be considered when planning surgical strategies for CSDH.