Journal of Cerebrovascular and Endovascular Neurosurgery · 2017 · 19 citations · 9 references
MedicineNeurosurgerySurgeryCerebrovascular NeurosurgeryCerebrovascular SurgeryVascular SurgeryAneurysm RepairAneurysm SurgeryCerebrovascular DiseaseSubarachnoid HemorrhageSubarachnoid Hemorrhage ManagementBalloon-assisted CoilingCerebral Aneurysm RuptureEndovascular EmbolizationProcedure ComplicationsProcedure-related ComplicationsSubarachnoid Hemorrhage ComplicationsSubarachnoid Hemorrhage Intervention
OBJECTIVE: We evaluate the rates and outcomes of major procedure-related complications during coiling. MATERIALS AND METHODS: 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: < 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.
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