Intra‐ or peri‐procedural rupture in the endovascular treatment of intracranial aneurysms

• DOI: 10.1111/ane.13686
• Publication Date: 2022-08-17T07:15:44Z
• Authors: Fernando Delgado ...; Isabel Bravo Rey; Elvira Jiménez Gómez; Veredas Romero Sa...; Alvaro Toledano; Rafael Oteros Fer...
• Keywords: Anterior communicating artery; Digital subtraction angiography

Introduction Intra- or peri-procedural aneurysm rupture is one of the most feared adverse effects associated with embolization. Our aim was to report characteristics patients suffering intra- ruptures during embolization cerebral aneurysms. Patients and methods Between March 1994 October 2021, 648 consecutive aneurysms were treated by endovascular procedure at our facility. Medical records reviewed retrospectively emphasis on description, potential risk factors, clinical outcomes related rupture. Results Of patients, 17 (2.6%) suffered an hemorrhagic event. The common location anterior communicating artery. There no significant difference between previously ruptured unruptured in incidence bleeding. In four bleeding evident within 24 h after procedure. evolution three months poor only presented a positive evolution. 11 deaths (64.71%). Balloon remodeling increased frequency ruptures, while stenting safer treatment. Conclusion Aneurysmal therapy unpredictable, its occurrence can be devastating. quite low although outcome frequently poor. Early detection proper management, including prompt occlusion aneurysm, are important achieve outcome. Anterior artery those balloon catheters have higher A small number uncertain origin occur that go unnoticed digital subtraction angiograms.