phosphorescence

aneurysms

coiling

hg ions

ruptured

coil embolization

aneurysms_107797

aneurysms treated

hiv_121218

afterschool

coil_107798

leukocyte telomere length

retreatment

znso sub

soil mapping_19280

aneurysms_107734

tension compression

carroll

coiling_16851

treatment crc

Interventional Neuroradiology

Endovascular coiling for intracranial aneurysms has become an accepted treatment with good clinical results and provides adequate protection against rebleeding and rupture of aneurysms. However, despite the experience, preparation, or skill of the physician, complications during endovascular treatment still occur. The main complications of endovascular coiling are: procedural aneurysmal perforations by the microcatheter, micro-guidewire, or coil, and thromboembolic events. Such situations are unexpected, complex, and can have devastating consequences. In this article, we present a comprehensive review of the two most common complications, aneurysmal perforation and thromboembolism during endovascular coiling, and how we can prevent or overcome these complications to achieve a satisfactory outcome. In addition, as the flow diverter has been become an important tool for management of large, wide necked, and other anatomically challenging aneurysms, we also describe complications stemming from the use of the tool, which remains a novel treatment option for complex aneurysms.

Complications of endovascular treatment for intracranial aneurysms: Management and prevention