Publications by authors named "J C Hunsaker"

Background Knowledge regarding predictors of clinical and radiographic failures of middle meningeal artery (MMA) embolization (MMAE) treatment for chronic subdural hematoma (CSDH) is limited. Purpose To identify predictors of MMAE treatment failure for CSDH. Materials and Methods In this retrospective study, consecutive patients who underwent MMAE for CSDH from February 2018 to April 2022 at 13 U.

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Background: By 2030, nonacute subdural hematomas (NASHs) will likely be the most common cranial neurosurgery pathology. Treatment with surgical evacuation may be necessary, but the recurrence rate after surgery is as high as 30%. Minimally invasive middle meningeal artery embolization (MMAE) during the perioperative period has been posited as an adjunctive treatment to decrease the potential for recurrence after surgical evacuation.

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Background: "Telescoping" multiple overlapping Pipeline Embolization Devices (PEDs; Medtronic) has increased their utility by allowing for more impermeable coverage and providing the ability to off-set landing zone sites and extend treatment constructs.

Objective: To consider the technical nuances and challenges of telescoping PEDs for the treatment of intracranial aneurysms.

Methods: Databases from 3 U.

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Article Synopsis
  • The study compares complications from two graft methods used in posterior fossa dural reconstruction after Chiari decompression surgery: AlloDerm alone vs. AlloDerm with a DuraGen underlay.
  • Results showed that the AlloDerm-only group had a higher rate of cerebrospinal fluid leaks (8.6%) compared to 0% in the dual graft group, indicating the DuraGen underlay reduced complications.
  • Moreover, pseudomeningoceles in the AlloDerm group were larger and required more surgical repairs, while all pseudomeningoceles in the DuraGen group resolved without further surgery, suggesting the effectiveness of the DuraGen underlay.
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