scholarly journals Thromboembolic Events during Endovascular Coil Embolization of Cerebral Aneurysms

2006 ◽  
Vol 12 (1_suppl) ◽  
pp. 112-116 ◽  
Author(s):  
T. Ishibashi ◽  
Y. Murayama ◽  
T. Saguchi ◽  
M. Ebara ◽  
K. Irie ◽  
...  
Keyword(s):  
Risk Factors ◽  
Adverse Event ◽  
Coil Embolization ◽  
Diffusion Weighted Imaging ◽  
Cerebral Aneurysms ◽  
Thromboembolic Events ◽  
Diffusion Weighted ◽  
Endovascular Coil Embolization ◽  
Intracerebral Aneurysm

Thromboembolic events was most important adverse event for coil embolization for intracerebral aneurysm. The present study investigated possible risk factors for thromboembolic events during coil embolization using diffusion-weighted imaging (DWI), comparing unruptured and ruptured lesions.

scholarly journals Coil Knotting during Endovascular Coil Embolization for Ruptured MCA Aneurysm

2008 ◽  
Vol 14 (3) ◽  
pp. 331-334
Author(s):  
S.C. Kwon ◽  
I.U. Lyo ◽  
S.H. Shin ◽  
J.B. Park ◽  
Y. Kim
Keyword(s):  
Coil Embolization ◽  
Present Report ◽  
Cerebral Aneurysms ◽  
Thromboembolic Events ◽  
Related Complication ◽  
Parent Vessel ◽  
Aneurysmal Rupture ◽  
Hemorrhagic Complications ◽  
Endovascular Coil Embolization ◽  
Mca Aneurysm

Complications during coil embolization of cerebral aneurysms include thromboembolic events, hemorrhagic complications related to procedural aneurysmal rupture and parent vessel perforation, and coil-related complications. The present report describes a rare coil-related complication involving spontaneous coil knotting.

Factors related to adverse events during endovascular coil embolization for ruptured cerebral aneurysms

2020 ◽  
Vol 12 (6) ◽  
pp. 605-609 ◽  
Author(s):  
Hirotoshi Imamura ◽  
Nobuyuki Sakai ◽  
Tetsu Satow ◽  
Koji Iihara
Keyword(s):  
Risk Factors ◽  
Adverse Events ◽  
Coil Embolization ◽  
Cerebral Aneurysms ◽  
Initial Result ◽  
World Federation ◽  
Ischemic Complications ◽  
Endovascular Coil Embolization ◽  
Ischemic Complication ◽  
Wide Neck

Background and purposeThe risk factors for adverse events for example, intraprocedural rupture (IPR), ischemic complication within 24 hours, and rebleeding after endovascular coil embolization for a ruptured cerebral aneurysm remain unclear. The aim of this study was to identify significant associated risk factors.MethodsWe retrospectively evaluated data from 5358 patients listed on the Japanese Registry of Neuroendovascular Therapy 3 during 2010–2014.ResultsIPR, ischemic complications, and rebleeding occurred during or after 221 (4.1%), 226 (4.2%), and 63 (1.2%) treatments, respectively. All of the adverse events were significantly associated with the patients’ poor outcomes at 30 days. Multivariate analysis revealed the factors independently related to these adverse events as follows: (1) for IPR: female sex, bifurcation type, <5 mm aneurysm, emergent surgery, local anesthesia, a balloon-assisted technique; (2) for an ischemic complication: poor World Federation World Federation of Neurological Societies (WFNS) grade, wide neck, and stent-assisted technique; (3) for rebleeding: poor WFNS grade, bifurcation type, wide neck, and body filling as the initial result.ConclusionsKnowledge of the risk factors of endovascular coil embolization and paying attention to them are essential for patients’ safe treatment and good outcomes.

scholarly journals Acutely ruptured basilar artery bifurcation aneurysm, treated with simultaneous Cascade and Comaneci temporary-assisted coiling

2020 ◽  
pp. neurintsurg-2020-016320
Author(s):  
Alexander Sirakov ◽  
Radoslav Raychev ◽  
Pervinder Bhogal ◽  
Stanimir Sirakov
Keyword(s):  
Basilar Artery ◽  
Coil Embolization ◽  
Cerebral Aneurysms ◽  
Content Type ◽  
Compliant Structure ◽  
Bifurcation Aneurysm ◽  
Vessel Patency ◽  
Endovascular Coil Embolization ◽  
Video Player ◽  
Temporary Stent

Temporary stent-assisted coiling is an eligible approach for the treatment of acutely ruptured complex cerebral aneurysms. Improved material properties and industrial advances in braiding technology have led to the introduction of new stent-like devices to augment endovascular coil embolization. Such technology includes the Cascade and Comaneci neck-bridging devices. Both devices are manually controlled, non-occlusive and fully retrievable neck-bridging temporary implants. The braided nature and the ultra-thin wire, compliant structure of their bridging meshes helps maintain target vessel patency during coil embolization. In this video (video 1) we demonstrate the straightforward combination of two temporary neck-bridging devices for the embolization of an acutely ruptured aneurysm of the basilar artery. Technical success and complete embolization of the aneurysm were recorded at the final angiography. In this technical video we discuss the technical nuances of the Comaneci and Cascade coil embolization.Video 1

Relationship between carotid plaque characteristics and new ischemic lesions after stenting detected by computed tomography angiography

2019 ◽  
Vol 61 (1) ◽  
pp. 47-55
Author(s):  
Hongying Qu ◽  
Xiaokun Zhang ◽  
Miao Zhang ◽  
Yongan Gao ◽  
Jie Lu
Keyword(s):  
Risk Factors ◽  
Computed Tomography ◽  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Carotid Plaque ◽  
Diffusion Weighted Imaging ◽  
Irregular Surface ◽  
Irregular Surfaces ◽  
Diffusion Weighted ◽  
Peripheral Position

Background Although carotid artery stenting achieves definite benefits, it carries a higher rate of embolization compared with carotid endarterectomy. The incidence of embolization may be related to plaque stability. Purpose To assess for any relationship between plaque characteristics and cerebral emboli following carotid artery stenting. Material and Methods Sixty-three patients with severe carotid stenosis underwent carotid artery stenting. They were divided into two groups according to whether new ischemic lesions were detected on diffusion-weighted imaging after carotid artery stenting. We evaluated the types and locations of calcification in plaques and extent of calcification. We then assessed for a correlation between each of these factors and occurrence of new lesions on diffusion-weighted imaging after carotid artery stenting. Results The locations of calcification, percentage of plaque enhancement, and the number of plaques with irregular surface or ulceration were significantly different between the two groups. A peripheral position of calcification (close to the adventitia), enhancing plaques, and plaques with irregular surfaces or ulceration were statistically significant predictors of intracerebral embolization after carotid artery stenting. No significant differences in type of plaque or degree of calcification were found between two groups. Conclusion Peripheral calcification, enhancing plaques, and plaques with irregular surfaces were risk factors for intracerebral embolization after carotid artery stenting. These plaque characteristics should be considered when choosing the optimal treatment for patients.

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