Your Recovery

You had a middle meningeal artery (MMA) embolization procedure to stop bleeding inside your brain. Using a thin, flexible tube (catheter), your doctor placed metal coils, liquid, or special particles in the artery at the site to form a clot. This stopped the bleeding.

After the procedure you may have pain and feel tired. You may have soreness at the place where the catheter was put into your body.

You may spend the night in the hospital for observation.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

Activity

• Do not do strenuous exercise or lift, pull, or push anything heavy until your doctor says it is okay. This may be for several days. You can walk around the house and do light activity, such as cooking.
• Because the catheter was placed in your wrist, do not bend your wrist deeply for the first couple of days. Be careful using your hand to get into and out of a chair or bed.
• Rest when you feel tired. Getting enough sleep will help you recover.

Diet

• Follow your doctor's orders about how much fluid you should drink after the procedure.
• You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.

Medicines

• Your doctor will tell you if and when you can restart your medicines. Your doctor will also give you instructions about taking any new medicines.
• If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
• Be safe with medicines. Read and follow all instructions on the label.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • Store your prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
• If you think your pain medicine is making you sick to your stomach:
  • Take your medicine after meals (unless your doctor has told you not to).
  • Ask your doctor for a different pain medicine.

Care of the catheter site

• If you have strips of tape on the cut (incision) the doctor made, leave the tape on until it falls off.
• Put ice or a cold pack on the area for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake). Put a thin cloth between the ice and your skin.
• You may shower 24 to 48 hours after the procedure, if your doctor okays it. Pat the incision dry.
• Do not soak the incision until it is healed. Don't take a bath for 1 week, or until your doctor tells you it is okay.
• Watch for bleeding from the incision. A small amount of blood (up to the size of a quarter) on the bandage can be normal.
• If you are bleeding, lie down and press on the area for 15 minutes to try to make it stop. If the bleeding does not stop, call your doctor or seek immediate medical care.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and contact your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

• You passed out (lost consciousness).
• You have severe trouble breathing.
• You have sudden chest pain and shortness of breath, or you cough up blood.
• It is hard to think, move, speak, or see.
• Your body is jerking or shaking.

Contact your doctor now or seek immediate medical care if:

• You have a fever with a stiff neck or a severe headache.
• You are bleeding from the area where the catheter was put in your artery.
• You have a fast-growing, painful lump at the catheter site.
• You have signs of infection, such as:
  • Increased pain, swelling, warmth, or redness.
  • Red streaks leading from the incision.
  • Pus draining from the incision.
  • Swollen lymph nodes in your neck, armpits, or groin.
  • A fever.
• Your hand is painful, cold, tingly, or numb or looks pale, bluish, or purplish.
• You have any sudden vision changes.
• You have new or worse headaches.
• You fall and hit your head.
• You are sleeping more than you are awake.
• You have a headache and you throw up.
• You have pain that does not get better after you take pain medicine.
• You have a fever over 38°C.

Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.