Description

Endovascular repair of a cerebral aneurysm or arteriovenous malformation can have temporary or permanent complications. The patient needs to be informed of the risks.


Possible complications:

(1) vascular rupture with hemorrhage (spontaneous, related to guidewire or catheter)

(2) thromboembolic-related neurologic deficit

(3) bleeding related to use of a thrombolytic

(4) hematoma at catheter insertion site

(5) arterial dissection

 

Neurologic deficits may include dysphasia, blindness, paresis, and hemiplegia.

 

A complication that resolved within one month was considered temporary. If it persisted after 1 month then it was more likely to be permanent.

 

Risk factors for complications:

(1) increasing patient age

(2) multiple embolizations

(3) higher dose of a thrombolytic

(4) treatment of an eloquent area of the brain

 

Additional risk factors for an arteriovenous malformation:

(1) venous drainage impairment

(2) higher grade

(3) fistula


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