BackTable / VI / Podcast / Episode #584

Middle Meningeal Artery Embolization: Procedure & Rationale

with Dr. Paul Gulotta

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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Middle Meningeal Artery Embolization: Procedure & Rationale with Dr. Paul Gulotta on the BackTable VI Podcast

Ep 584 Middle Meningeal Artery Embolization: Procedure & Rationale with Dr. Paul Gulotta

00:00 / 01:04

BackTable, LLC (Producer). (2025, October 24). Ep. 584 – Middle Meningeal Artery Embolization: Procedure & Rationale [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Michael Barraza

Dr. Michael Barraza is a practicing interventional radiologist (and all around great guy) with Radiology Associates in Baton Rouge, LA.

Dr. Paul Gulotta

Dr. Paul Gullota is an interventional radiologist practicing at Oschner Health in New Orleans, Louisiana.

Synopsis

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.

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

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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