Procedure-related Complications during Endovascular Treatment of Intracranial Saccular Aneurysms
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 162-170, 2017.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ruptura
/
Hemorragia Subaracnóidea
/
Tromboembolia
/
Modelos Logísticos
/
Aneurisma Intracraniano
/
Incidência
/
Análise Multivariada
/
Fatores de Risco
/
Embolização Terapêutica
/
Hemorragia
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Ano de publicação:
2017
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS