Abstract
Understanding the various complications that can occur during endovascular treatment of intracranial aneurysms is important so that measures can be taken to prevent these complications from occurring. Having a standard plan or checklist for managing complications that occur during or following neuroendovascular procedures is important to decrease the risk of neurological deficits resulting from these complications. In this chapter, we review the causes, preventative strategies, and management strategies of complications which occur during endovascular treatment of intracranial aneurysms.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Yamaki VN, Brinjikji W, Murad MH, Lanzino G. Endovascular treatment of very small intracranial aneurysms: meta-analysis. AJNR Am J Neuroradiol. 2016;37(5):862–7.
Brisman JL, Niimi Y, Song JK, Berenstein A. Aneurysmal rupture during coiling: low incidence and good outcomes at a single large volume center. Neurosurgery. 2005;57(6):1103–9. Discussion -9.
Cloft HJ, Kallmes DF. Cerebral aneurysm perforations complicating therapy with Guglielmi detachable coils: a meta-analysis. AJNR Am J Neuroradiol. 2002;23(10):1706–9.
Luo CB, Mu-Huo Teng M, Chang FC, Lin CJ, Guo WY, Chang CY. Intraprocedure aneurysm rupture in embolization: clinical outcome with imaging correlation. J Chin Med Assoc. 2012;75(6):281–5.
Tummala RP, Chu RM, Madison MT, Myers M, Tubman D, Nussbaum ES. Outcomes after aneurysm rupture during endovascular coil embolization. Neurosurgery. 2001;49(5):1059–66. Discussion 66–7.
Ryu CW, Lee CY, Koh JS, Choi SK, Kim EJ. Vascular perforation during coil embolization of an intracranial aneurysm: the incidence, mechanism, and clinical outcome. Neurointervention. 2011;6(1):17–22.
Chen M. A checklist for cerebral aneurysm embolization complications. J Neurointerv Surg. 2013;5(1):20–7.
Willinsky R, terBrugge K. Use of a second microcatheter in the management of a perforation during endovascular treatment of a cerebral aneurysm. AJNR Am J Neuroradiol. 2000;21(8):1537–9.
Patsalides A, Smith M, Gobin YP. Intra-procedural aneurysm rupture treated with n-butyl cyanoacrylate embolization: technical note. J Neurointerv Surg. 2010;2(2):145–6.
Farhat HI, Elhammady MS, Aziz-Sultan MA. N-Butyl-2-cyanoacrylate use in intraoperative ruptured aneurysms as a salvage rescue: case report. Neurosurgery. 2010;67(1):216–7. Discussion 7.
Brinjikji W, McDonald JS, Kallmes DF, Cloft HJ. Rescue treatment of thromboembolic complications during endovascular treatment of cerebral aneurysms. Stroke. 2013;44(5):1343–7.
Brinjikji W, Morales-Valero SF, Murad MH, Cloft HJ, Kallmes DF. Rescue treatment of thromboembolic complications during endovascular treatment of cerebral aneurysms: a meta-analysis. AJNR Am J Neuroradiol. 2015;36(1):121–5.
Zhao B, Yin R, Lanzino G, Kallmes DF, Cloft HJ, Brinjikji W. Endovascular coiling of wide-neck and wide-neck bifurcation aneurysms: a systematic review and meta-analysis. AJNR Am J Neuroradiol. 2016;37(9):1700–5.
Yamada NK, Cross DT III, Pilgram TK, Moran CJ, Derdeyn CP, Dacey RG Jr. Effect of antiplatelet therapy on thromboembolic complications of elective coil embolization of cerebral aneurysms. AJNR Am J Neuroradiol. 2007;28(9):1778–82.
Ahn JH, Jun HS, Song JH, Cho BM, Lee HK, Kim BC, et al. Rescue mechanical thrombectomy using a retrievable stent for thromboembolic occlusion occurring during coil embolization of ruptured intracranial aneurysms. J Neurointerv Surg. 2017;9(3):244–9.
Ding D, Liu KC. Management strategies for intraprocedural coil migration during endovascular treatment of intracranial aneurysms. J Neurointerv Surg. 2014;6(6):428–31.
Leong S, Fanning NF. Persistent neurological deficit from iodinated contrast encephalopathy following intracranial aneurysm coiling. A case report and review of the literature. Interv Neuroradiol. 2012;18(1):33–41.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Brinjikji, W., Lanzino, G. (2018). Complications in the Coiling of Cerebral Aneurysms. In: Gandhi, C., Prestigiacomo, C. (eds) Cerebrovascular and Endovascular Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-65206-1_24
Download citation
DOI: https://doi.org/10.1007/978-3-319-65206-1_24
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-65204-7
Online ISBN: 978-3-319-65206-1
eBook Packages: MedicineMedicine (R0)