ハイブリッド手術室で急性硬膜外血腫に対して局所麻酔下で小開頭血腫除去と中硬膜動脈塞栓術を行った症例

抄録

The effectiveness of the middle meningeal artery embolization has been reported for chronic subdural hematoma started acute epidural hematoma is trauma disease. In cases of acute epidural hematoma, we want to report a case of a hematoma removal and middle meningeal artery embolization in the small open head was performed in a hybrid operating room.

66-year-old woman was introduced to fall to our department, it was recognized right of acute subdural hematoma, brain contusion and left acute epidural hematoma in CT. General anesthesia is difficult, I went hematoma removed in the small open head. However, since the opposite side of the epidural hematoma has expanded, it went again hematoma removal. For traumatic DIC it was difficult hemostasis. We have added the embolization of the middle meningeal artery in the hybrid operating room. She has passed without postoperative rebleeding.

Using the hybrid operating room, the middle meningeal artery embolization for acute epidural hematoma was safe and effective hemostasis auxiliary.