Abstract
Intraprocedural aneurysmal rupture is a feared complication of coil embolization of intracranial aneurysms and is associated with high rates of morbidity and mortality. We report the incidence, endovascular management, and clinical outcome of patients with IAR, with emphasis on the role of the balloon-assisted technique. We conducted a retrospective analysis of all intracranial aneurysms treated by coil embolization between September 2001 and June 2011. All patients with IAR were studied. Comparison of immediate clinical outcomes was performed by using univariate analysis (Fisher exact test). Of 652 intracranial aneurysms treated with coil embolization, an IAR occurred in 22 (3.4%). Rupture occurred during placement of coils in 18 cases, microcatheters in 2 cases, and a guidewire in 1 case, and during induction of anesthesia in 1 case. Before treatment, 15 of 22 (68%) patients were in good clinical condition (WFNS grade I). There were fewer patients with worsening of the WFNS grade following an IAR when the balloon-assisted technique was used (7.7%) compared with when it was not (55.5%) (P = .023). Death occurred in 2 (9.1%) patients. IAR is a potentially serious complication of coil embolization. If IAR occurs, balloon-assista...Continue Reading
References
Jun 1, 1988·Journal of Neurosurgery
Jun 1, 1988·Journal of Neurosurgery·N Aoki
Apr 1, 1981·Journal of Neurology, Neurosurgery, and Psychiatry·B JennettN Brooks
Dec 1, 1995·Journal of Neurology, Neurosurgery, and Psychiatry·J V ByrneS A Renowden
Mar 1, 1997·Journal of Neurosurgery·F ViñuelaM Mawad
Dec 24, 1997·Neurosurgery·J Raymond, D Roy
Feb 11, 1998·Radiology·C CognardJ Moret
Jul 1, 1998·Journal of Neurosurgery·C G McDougallG B Hieshima
Dec 16, 1998·Neurosurgery·G M DebrunF Charbel
May 6, 1999·Radiology·R VanninenM Vapalahti
Jul 2, 1999·Stroke; a Journal of Cerebral Circulation·K KataokaR Kuroda
Sep 24, 1999·Neurosurgery·Y AkibaY P Gobin
Feb 24, 2001·Journal of Neurosurgery·M SluzewskiD Wijnalda
Sep 21, 2001·Neurosurgery·E LevyP D Purdy
Jan 10, 2002·Stroke; a Journal of Cerebral Circulation·P NgW McAuliffe
Feb 16, 2002·Neurosurgery·R P TummalaE S Nussbaum
May 15, 2003·Journal of Neurosurgery·Yuichi MurayamaFernando Viñuela
Dec 7, 2005·Neurosurgery·Jonathan L BrismanAlejandro Berenstein
Sep 12, 2006·Journal of Neurosurgery·Menno SluzewskiPeter C Nijssen
Sep 28, 2006·Neuroradiology·Ming-Hua LiGuo-Ping Xu
Jun 4, 2008·Journal of Neurosurgery·Thanh N NguyenAlain Weill
Jul 12, 2008·Stroke; a Journal of Cerebral Circulation·Laurent PierotUNKNOWN ATENA Investigators
Dec 20, 2008·Journal of Korean Neurosurgical Society·Yong Cheol LimJoonho Chung
Jan 10, 2009·AJNR. American Journal of Neuroradiology·W J van RooijM Sluzewski
Mar 26, 2009·Radiology·Laurent PierotJacques Moret
Nov 21, 2009·Stroke; a Journal of Cerebral Circulation·Waleed BrinjikjiDavid F Kallmes
Dec 7, 2010·Radiology·Laurent PierotUNKNOWN CLARITY Investigators
Feb 26, 2011·AJNR. American Journal of Neuroradiology·L PierotJ Moret
Citations
Jul 6, 2014·Neurosurgery Clinics of North America·Daniel S IkedaCiarán J Powers
Jul 14, 2014·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Bo-Feng LinZhi-Fu Wu
Apr 30, 2014·Journal of Neurointerventional Surgery·Karam MoonCameron G McDougall
Dec 18, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Daniel W ZumofenPeter K Nelson
Nov 2, 2014·Journal of Neurosurgery·Christopher J StapletonChristopher S Ogilvy
Jul 16, 2017·Journal of Neurointerventional Surgery·Shuhei KawabataNobuyuki Sakai
Aug 20, 2017·Journal of Neurointerventional Surgery·Guilherme DabusDavid F Kallmes
Feb 23, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Yon Kwon IhnIn Sup Choi
Aug 21, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·E A CoraD Iancu
Jun 27, 2013·Stroke; a Journal of Cerebral Circulation·Laurent Pierot, Ajay K Wakhloo
Feb 18, 2016·Journal of Korean Neurosurgical Society·Kyung Min LeeSeung-Chyul Hong
May 19, 2017·Neurosurgery·Stephen R LoweAlejandro M Spiotta
Sep 2, 2017·AJNR. American Journal of Neuroradiology·H H ChoiH-S Kang
Jul 1, 2014·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Tim E DarsautJean Raymond
Feb 18, 2021·Journal of Neurointerventional Surgery·Robert M StarkeUNKNOWN SMART Registry Investigators
Jan 15, 2021·Journal of Neurointerventional Surgery·Laurent PierotUNKNOWN From the Departments of Neuroradiology, Research, and Public Health
Jan 29, 2021·Brain Circulation·Muhammad WaqasElad I Levy
Feb 28, 2021·World Neurosurgery·Servet Inci, Dicle Karakaya
Oct 6, 2021·The British Journal of Radiology·Kavi Fatania, Dr Tufail Patankar