Procedure-related Complications during Endovascular Treatment of Intracranial Saccular Aneurysms
Journal of Cerebrovascular and Endovascular Neurosurgery
; : 162-170, 2017.
Article
en En
| WPRIM
| ID: wpr-203988
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE:
We evaluate the rates and outcomes of major procedure-related complications during coiling. MATERIALS ANDMETHODS:
Between 2007 and 2015, 436 intracranial saccular aneurysms were treated. Complications are categorized as three types intraprocedural aneurysm rupture (IAR), thromboembolism (TE), and post-procedural early rebleeding (PER). And we evaluated the risk factors of procedure related complications by multivariate analysis.RESULTS:
Complications occurred in 61 aneurysms (14%). The overall incidence of complications in subarachnoid hemorrhage (SAH) was significantly higher than in unruptured intracranial aneurysm (UIA) (20% vs. 6%). The incidence of IAR and TE were higher in SAH than in UIA (IAR 12% vs. 4%, TE 7% vs. 3%, p 0.05). All 7 patients who had IAR during BAC had good recovery. In multiple logistic regression analysis, female gender, SAH, and intraventricular hemorrhage were associated with procedure related complication (p < 0.05).CONCLUSION:
Endovascular coil embolization is a minimally invasive procedure, but incidence of its complication is not low, especially in SAH. BAC can be a good tool to avoid poor outcome from unexpected IAR during coiling. While IA tirofiban injection is a useful therapy in TE during coiling, sometimes we are aware of the risk of the early rebleeding in SAH patients.Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Rotura
/
Hemorragia Subaracnoidea
/
Tromboembolia
/
Modelos Logísticos
/
Aneurisma Intracraneal
/
Incidencia
/
Análisis Multivariante
/
Factores de Riesgo
/
Embolización Terapéutica
/
Hemorragia
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
Idioma:
En
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Año:
2017
Tipo del documento:
Article