ArticleAJNR. American journal of neuroradiology2005
Periprocedural morbidity and mortality associated with endovascular treatment of intracranial aneurysms.
Article in AJNR. American journal of neuroradiology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 1 of them a synthesis that pooled it.
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Who cites it
74 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Safety and efficacy of adjunctive balloon remodeling during endovascular treatment of intracranial aneurysms: a literature review.AJNR. American journal of neuroradiology · 2008Pooled it
- Clinical and angiographic follow-up of ruptured intracranial aneurysms treated with endovascular embolization.AJNR. American journal of neuroradiology · 2009Trial
- Stent management of coil herniation in embolization of internal carotid aneurysms.AJNR. American journal of neuroradiology · 2008Trial
- Feasibility, procedural morbidity and mortality, and long-term follow-up of endovascular treatment of 321 unruptured aneurysms.AJNR. American journal of neuroradiology · 2008Trial
- Results of Endovascular Treatment of Ruptured Intracranial Aneurysms and Recanalization Rate After a Five-Year Follow-Up Period.Journal of clinical medicine · 2026Article
- Woven Endobridge device for ruptured vs. unruptured aneurysms: insights from the WorldWideWEB study.Neuroradiology · 2026Article
- Feasibility of single antiplatelet therapy after stent assisted coiling for ruptured intracranial aneurysms.Journal of cerebrovascular and endovascular neurosurgery · 2024Article
- A 5-Year Follow-Up after Endovascular Treatment of 402 Intracranial Aneurysms-A Single-Centre Experience.Biomedicines · 2024Article
- Frequency and Characteristics of Paraclinoid Aneurysm in Ruptured Cerebral Aneurysms.Journal of Korean Neurosurgical Society · 2024Article
- Mechanical compression management of the right middle cerebral artery inferior trunk using a stent during coil embolization of middle cerebral artery aneurysms: A case report and literature review.Journal of interventional medicine · 2023Article
- Trends and Outcomes of Endovascular Embolization and Surgical Clipping for Ruptured Intracranial Aneurysms: A Propensity-Matched Study of 1332 Patients in the United States.World neurosurgery · 2022Article
- Intervals of endovascular treatment for coincidental non-adjacent unruptured aneurysms in patients with symptomatic intracranial atherosclerotic stenosis.Frontiers in neurology · 2022Article
- Bailout Technique for Coil Unraveling with a KUSABI Exchange Catheter: A Case Report.Journal of neuroendovascular therapy · 2022Article
- Diffusion-weighted imaging lesions after endovascular treatment of cerebral aneurysms: A network meta-analysis.Frontiers in surgery · 2022Review
- Prediction and analysis of periprocedural complications associated with endovascular treatment for unruptured intracranial aneurysms using machine learning.Frontiers in neurology · 2022Article
- Endovascular Treatment of Patients with Ruptured Intracranial Aneurysms: A Series of 468 Patients Treated Over a 14-Year Period.Journal of the Belgian Society of Radiology · 2022Article
- Predictors of full functional recovery in endovascularly treated patients with aneurysmal subarachnoid hemorrhageTurkish journal of medical sciences · 2021Article
- Risk factors for periprocedural ischemic stroke following endovascular treatment of intracranial aneurysms.Chinese neurosurgical journal · 2021Article
- Risk Factors for Recanalization after Coil Embolization.Journal of personalized medicine · 2021Article
- Thromboembolism during coiling of intracranial aneurysms: predictors and clinical outcome.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeDespite experience and technological improvements, endovascular treatment of intracranial aneurysms still has inherent risks. We evaluated cerebral complications associated with this treatment.
methodsFrom October 1998 to October 2002, 180 consecutive patients underwent 131 procedures for 118 ruptured aneurysms and 79 procedures for 72 unruptured aneurysms. We retrospectively reviewed their records and images to evaluate their morbidity and mortality.
resultsThirty-seven (17.6%) procedure-related complications occurred: 27 and six with initial embolization of ruptured and unruptured aneurysms, respectively, and four with re-treatment. Complications included 22 cerebral thromboembolisms, nine intraprocedural aneurysm perforations, two coil migrations, two parent vessel injuries, one postprocedural aneurysm rupture, and one cranial nerve palsy. Fourteen complications had no neurologic consequence. Three caused transient neurologic morbidity; 10, persistent neurologic morbidity; and 10, death. Procedure-related neurologic morbidity and mortality rates, respectively, were as follows: overall, 4.8% and 4.8%; ruptured aneurysms, 5.9% and 7.6%; unruptured aneurysms, 1.4% and 1.4%; and re-treated aneurysms, 10% and 0%. Combined procedure-related morbidity and mortality rates for ruptured, unruptured, and re-treated aneurysms were 13.5%, 2.8%, and 10%, respectively. Nonprocedural complications attributable to subarachnoid hemorrhage in 118 patients with ruptured aneurysm were early rebleeding before coil placement (0.9%), symptomatic vasospasm (5.9%), and shunt-dependent hydrocephalus (5.9%); mortality from complications of subarachnoid hemorrhage itself was 11.9%.
conclusionProcedural morbidity and mortality rates were highest in ruptured aneurysms and lowest in unruptured aneurysms. Morbidity rates were highest in re-treated aneurysms and lowest in unruptured aneurysms. No procedural mortality occurred with re-treated aneurysms. The main cause of morbidity and mortality was thromboembolism.
Indexed as
Identifiers
15760857PMC7976477What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.