Acute serious rebleeding after angiographically successful coil embolization of ruptured cerebral aneurysms

Acta neurochirurgica
Dong-Hun KangIn-Suk Hamm

Abstract

The present study investigated the incidence of acute rebleeding after successful coil embolization of a ruptured cerebral aneurysm, including clinical outcomes, and possible mechanisms of the events other than coil compaction and/or incomplete embolization. This study included 591 consecutive patients who presented with aneurysmal subarachnoid hemorrhage, were treated with coil embolization, and whose post-procedural angiography revealed successful embolization. Data were collected retrospectively from six patients who showed acute rebleeding despite that angiographically successful coil embolization was achieved. All clinical, radiological data and intraoperative videos were reviewed to identify causative factors which could have contributed to the occurrence of rebleeding. Incidence of acute rebleeding after successful coil embolization of ruptured cerebral aneurysm was 1.0% (6/591). In all of these six patients, complete angiographic occlusion was achieved except in one case where a small residual neck was intentionally left to avoid compromise of the parent artery. Four of the six patients showed poor clinical courses, either died or recovered with severe disability. Whenever possible, we performed an immediate craniotomy ...Continue Reading

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Citations

Dec 14, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yusuke EgashiraToru Iwama
Nov 11, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Motohiro NomuraHiroshi Shima
Dec 13, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Kailing LiJinlu Yu
Nov 4, 2015·Journal of Cerebrovascular and Endovascular Neurosurgery·Se Hun ChangJun Seok Koh
Apr 12, 2019·Frontiers in Neuroscience·Qingyuan LiuShuo Wang

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