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Objective <p>To analyze the management and outcomes of intra-procedural thromboembolic events (TEEs) during endovascular coiling of ruptured cerebral aneurysms.</p> Methods <p>This retrospective study enrolled patients with intra-procedural TEEs during coiling of ruptured cerebral aneurysms. Patient demographics, including age, aneurysm location, occlusion type, coiling procedure details, and intervention time since rupture, were collected and analyzed. The World Federation of Neurosurgical Society (WFNS) grading system was used to evaluate the clinical status of patients. The management choices made to restore blood flow, the rate of successful recanalization, and the clinical outcomes of the patients at discharge were recorded. </p> Results <p>Thirteen patients were identified (mean age, 50.38 ± 12.35 years. Most patients (46.2%) were classified as grade I WFNS (mean score, 2.2 ± 1.40). The mean time to intervention was 3.38 ± 1.12 days. Most patients (53.8%) had an anterior communicating artery aneurysm, and type III occlusion was observed in 63.6% of patients. Three (23.1%) patients underwent balloon-assisted procedures. The mean modified Rankin score at discharge was 1.69 ± 1.55 (range, 0–5). A significant correlation was found between the admission WFNS scale and patient outcomes at discharge (<i>r</i> = 0.84, <i>p</i> &lt; 0.001). Delayed intervention time was an independent predictor of poor outcome (95% CI = 0.342–0.855, <i>p</i> &lt; 0.001).</p> Conclusion <p>Intra-procedural TEEs during the coiling of ruptured cerebral aneurysms pose a challenging complication. Timely management is crucial for achieving a favorable outcome, emphasizing the importance of rapid intervention and careful monitoring. </p>

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Intra-procedural thromboembolic events during coiling of ruptured cerebral aneurysm: a retrospective pilot analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月10日

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  • Mohamed M.A. Zaitoun,
  • Mona Mahmoud Eladl,
  • Mahmoud Mounir Higazi,
  • Ahmed M Alawamry,
  • Nahla M.A. Zaitoun,
  • Adel M. Othman,
  • Ibrahim M . Eladl

摘要

Objective

To analyze the management and outcomes of intra-procedural thromboembolic events (TEEs) during endovascular coiling of ruptured cerebral aneurysms.

Methods

This retrospective study enrolled patients with intra-procedural TEEs during coiling of ruptured cerebral aneurysms. Patient demographics, including age, aneurysm location, occlusion type, coiling procedure details, and intervention time since rupture, were collected and analyzed. The World Federation of Neurosurgical Society (WFNS) grading system was used to evaluate the clinical status of patients. The management choices made to restore blood flow, the rate of successful recanalization, and the clinical outcomes of the patients at discharge were recorded.

Results

Thirteen patients were identified (mean age, 50.38 ± 12.35 years. Most patients (46.2%) were classified as grade I WFNS (mean score, 2.2 ± 1.40). The mean time to intervention was 3.38 ± 1.12 days. Most patients (53.8%) had an anterior communicating artery aneurysm, and type III occlusion was observed in 63.6% of patients. Three (23.1%) patients underwent balloon-assisted procedures. The mean modified Rankin score at discharge was 1.69 ± 1.55 (range, 0–5). A significant correlation was found between the admission WFNS scale and patient outcomes at discharge (r = 0.84, p < 0.001). Delayed intervention time was an independent predictor of poor outcome (95% CI = 0.342–0.855, p < 0.001).

Conclusion

Intra-procedural TEEs during the coiling of ruptured cerebral aneurysms pose a challenging complication. Timely management is crucial for achieving a favorable outcome, emphasizing the importance of rapid intervention and careful monitoring.