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Complication Avoidance and Management Research

  • Mithun G. Sattur
  • Chandan Krishna
  • Aman Gupta
  • Matthew E. Welz
  • Rami James N. Aoun
  • Patrick B. Bolton
  • Brian W. Chong
  • Bart M. Demaerschalk
  • Pelagia Kouloumberis
  • Mark K. Lyons
  • Jamal McclendonJr.
  • Naresh Patel
  • Ayan Sen
  • Kristin Swanson
  • Richard S. Zimmerman
  • Bernard R. Bendok
Chapter

Abstract

Complication avoidance is a major consideration with any surgical procedure, and evaluation of complications relies on clear definitions. However, defining what constitutes a complication can be difficult, as perspectives on errors of commission or omission often vary between providers and patients. Here, we present a concise analysis of complications related to neurovascular surgery (defined as any procedural care of patients with neurovascular diseases) and provide a framework for approaching research efforts. This is done by considering opportunities in disease screening and patient selection, perioperative morbidity reduction, and follow-up. In addition, the concept of complication avoidance through surgical simulation is briefly dealt with. This chapter is intended to serve as an initial reference point for the young neurovascular specialist for developing and elaborating on the concept of complication avoidance through various techniques of research.

Abbreviations

ARUBA

A Randomized trial of Unruptured Brain Arteriovenous malformations

COSS

Carotid Occlusion Surgery Study

CTA

Computed tomography angiography

DSA

Digital subtraction angiography

DVT

Deep vein thrombosis

EC-IC

Extracranial-intracranial

EEG

Electroencephalography

ICG

Indocyanine green

ICH

Intracerebral hemorrhage

ISUIA

The International Study of Unruptured Intracranial Aneurysms

MEP

Motor-evoked potential

PE

Pulmonary embolism

PET

Positron emission tomography

SEP

Sensory evoked potentials

TIA

Transient ischemic attack

TPA

Tissue plasminogen activator

VTE

Venous thromboembolism

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Mithun G. Sattur
    • 1
    • 2
    • 3
  • Chandan Krishna
    • 1
  • Aman Gupta
    • 1
    • 2
    • 3
  • Matthew E. Welz
    • 1
    • 2
    • 3
  • Rami James N. Aoun
    • 1
    • 2
    • 3
  • Patrick B. Bolton
    • 4
  • Brian W. Chong
    • 1
    • 5
  • Bart M. Demaerschalk
    • 6
  • Pelagia Kouloumberis
    • 1
  • Mark K. Lyons
    • 1
  • Jamal McclendonJr.
    • 1
  • Naresh Patel
    • 1
  • Ayan Sen
    • 7
  • Kristin Swanson
    • 1
    • 2
  • Richard S. Zimmerman
    • 1
  • Bernard R. Bendok
    • 1
    • 2
    • 3
    • 5
    • 8
  1. 1.Department of Neurological SurgeryMayo ClinicPhoenixUSA
  2. 2.Precision Neuro-Theraputics Innovation LabMayo ClinicPhoenixUSA
  3. 3.Neurosurgery Simulation and Innovation LabMayo ClinicPhoenixUSA
  4. 4.Department of Anesthesia and Periop MedMayo ClinicPhoenixUSA
  5. 5.Department of RadiologyMayo ClinicPhoenixUSA
  6. 6.Department of NeurologyMayo ClinicPhoenixUSA
  7. 7.Department of Critical Care MedicineMayo ClinicPhoenixUSA
  8. 8.Department of OtolaryngologyMayo ClinicPhoenixUSA

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