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Intra‐arterial Selective Bevacizumab Administration in the Middle Meningeal Artery for Chronic Subdural Hematoma: An Early Experience in 12 Hemispheres | Stroke: Vascular and Interventional Neurology ahajournals.org/doi/10.1161/SV… Stroke: Vascular and Interventional Neurology Stroke AHA/ASA SVIN

Late breaking session: MMAE for SDH 🔑 Headache- most common symptom 🔑 Midline shift More in the surgical arm 🔑 Burr hole > craniectomy 🔑 Microcather mostly placed distally 🔑 Odds ratio favors MMAE with statistical significance in surgical arm #SVIN24 SVIN

ANSAAR RAI #SVIN24 kicks off with MEMBRANE - Eval efficacy/safety of +MMAE in cSDH s/p surg or SOC med mngt. 🔑Favors adjunct MMAE, signif in surgical population, not reached in med mngt cohort 👴Positive trend in the vulnerable population ≥75yo (a growing demographic in US)

Peter Kan introduces the CHESS study at #SVIN24, a new RCT focused on moderately symptomatic pts (note inclusion criteria) investigating particle embolization for cSDH as stand-alone treatment.

Thanks to Alexandra Czap and SVIN for the opportunity to share our vision of outpatient Neurointerventional care. The #future is here! UB Neurosurgery (UBNS) Adnan H. Siddiqui, MD Rosalind Lai, MD Jason Davies, MD,PhD

⭐️Clinical Trial Updates⭐️ This week continues to be busy for the MMA #embolization trials for #SDH MEMBRANE results so far show a + treatment effect of MMAE compared to the non surgical cohort

Original Article: Adjunctive Middle Meningeal Artery Embolization for Subdural Hematoma (EMBOLISE) nej.md/3Zhbmol Editorial: Middle Meningeal Artery Embolization and Nonacute Subdural Hematoma nej.md/4fRauMv #Neurology

In patients with chronic subdural hematoma, the incidence of recurrence or progression remains high despite standard care. The effect of adding middle meningeal artery embolization to treatment is unclear. Research findings are summarized in a video. nej.md/3YX433L

Bevacizumab: The future of chronic subdural hematoma journals.sagepub.com/doi/abs/10.117…

MEMBRANE becomes latest RCT to demonstrate MMA embolisation’s benefits in cSDH treatment neuronewsinternational.com/membrane-becom… Stroke AHA/ASA SVIN Stroke: Vascular and Interventional Neurology ANSAAR RAI

Original Article: Middle Meningeal Artery Embolization for Nonacute Subdural Hematoma (MAGIC-MT) nej.md/3UZm6oM Editorial: Middle Meningeal Artery Embolization and Nonacute Subdural Hematoma nej.md/4fRauMv #Neurology

In the EMBOLISE trial, researchers assessed whether adding middle meningeal artery embolization to surgery reduces the risk of reoperation for recurrence or progression among patients with subacute or chronic subdural hematoma. Full trial results: nej.md/3Zhbmol

Complex reconstruction of R carotid occlusion. Utilizing all to tools in the toolbox - symptomatic R carotid occlusion, failed traditional endo recanalization, failed CTO repair, failed carotid endarterectomy - enter the dual trained vascular neurosurgeon for hybrid endopass

Great insightful case for me that highlighted the importance of being dual trained. UB Neurosurgery (UBNS) UBNS Vascular Hussain Shallwani Devan Patel

Young woman, followed for years with steadily progressive midbrain cavmal enlargement. Now reaches pial surface anteriorly. Quicktome to visualize tracts for safe entry between motor fibers and 3rd nerve nucleus. UB Neurosurgery (UBNS) UBNS Vascular Jacobs Institute | Nonprofit Med-Tech

Presented at #ISC25: In the ESCAPE-MeVO trial involving patients with ischemic stroke due to medium-vessel occlusion, thrombectomy within 12 hours did not lead to a better functional outcome and lower mortality at 90 days than usual care. Full trial results:

Our JNIS paper on pre-op IMA embolization for TMJ replacement surgery is out! 👀 Watch this video overview or click the link below for full text 📚 A big thank you to the senior author Dr. Rabinov, MGH OMFS team, and our NSGY/NIR co‑authors for their invaluable contributions!

As Dr Nerissa Ko mentioned, a stroke patient survivor reminded us why we do what we do. Dr William Mack with a grateful stroke patient who recovered speech after a healed carotid dissection. #ISC25

Embo for sdh works, but questions remain. Grateful to #OCIN2025 杨朋飞 @左乔 for invitation to discuss. Large-scale multinational collaborations will always get us to the right answers faster than keeping to ourselves. UB Neurosurgery (UBNS) Adnan H. Siddiqui, MD Jacobs Institute | Nonprofit Med-Tech