Is meningeal artery embolization the key to ending the cycle of chronic subdural hematomas? In this episode of the Back Table Podcast, Dr. Paul Gullota from Ochsner Health joins host Michael Barraza to share his technical insights on middle meningeal artery embolization, including patient workup, procedure technique, and post-operative care.
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SYNPOSIS
The episode begins with a discussion on the evolving role of middle meningeal artery embolization in preventing chronic subdural recurrence. The doctors talk through patient selection and procedural planning for middle meningeal artery embolization, emphasizing the importance of assessing collateral pathways and hemorrhage laterality. Dr. Gullota shares his access techniques, microcatheter and embolic options, and the critical role of teamwork with neurosurgery. He also shares his approach to navigating complex vascular anatomy as well as ensuring appropriate patient follow up.
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TIMESTAMPS
00:00 - Introduction
03:12 - Middle Meningeal Artery Embolization: Rationale and Process
04:17 - Patient Evaluation and Procedure Steps
06:09 - Outpatient Procedures and Billing
07:06 - Candidates for Embolization Post-Evacuation
07:56 - Unilateral vs. Bilateral Embolization
10:34 - Procedure Techniques and Tools
19:48 - Post-Procedure Care and Follow-Up
21:35 - Final Thoughts and Conclusion