Procedure-related Complications during Endovascular Treatment of Intracranial Saccular Aneurysms
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 162-170, 2017.
Article
Dans Anglais
| WPRIM
| ID: wpr-203988
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Rupture
/
Hémorragie meningée
/
Thromboembolie
/
Modèles logistiques
/
Anévrysme intracrânien
/
Incidence
/
Analyse multifactorielle
/
Facteurs de risque
/
Embolisation thérapeutique
/
Hémorragie
Type d'étude:
Etude d'étiologie
/
Etude d'incidence
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Journal of Cerebrovascular and Endovascular Neurosurgery
Année:
2017
Type:
Article
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