Skip to main content

Complications in the Coiling of Cerebral Aneurysms

  • Chapter
  • First Online:
Cerebrovascular and Endovascular Neurosurgery

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. 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.

    Article  CAS  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. 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.

    PubMed  Google Scholar 

  4. 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.

    Article  PubMed  Google Scholar 

  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.

    PubMed  CAS  Google Scholar 

  6. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Chen M. A checklist for cerebral aneurysm embolization complications. J Neurointerv Surg. 2013;5(1):20–7.

    Article  PubMed  Google Scholar 

  8. 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.

    PubMed  CAS  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. 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.

    Article  CAS  PubMed  Google Scholar 

  12. 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.

    Article  CAS  PubMed  Google Scholar 

  13. 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.

    Article  CAS  PubMed  Google Scholar 

  14. 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.

    Article  CAS  PubMed  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. Ding D, Liu KC. Management strategies for intraprocedural coil migration during endovascular treatment of intracranial aneurysms. J Neurointerv Surg. 2014;6(6):428–31.

    Article  PubMed  Google Scholar 

  17. 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giuseppe Lanzino M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

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)

Publish with us

Policies and ethics