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Research ArticleINTERVENTIONAL

Procedural Complications of Coiling of Ruptured Intracranial Aneurysms: Incidence and Risk Factors in a Consecutive Series of 681 Patients

W.J. van Rooij, M. Sluzewski, G.N. Beute and P.C. Nijssen
American Journal of Neuroradiology August 2006, 27 (7) 1498-1501;
W.J. van Rooij
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M. Sluzewski
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G.N. Beute
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P.C. Nijssen
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Article Figures & Data

Tables

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    Table 1:

    Location of 681 ruptured aneurysms treated with detachable coils

    Posterior circulation (N = 181)
        Basilar tip109
        Superior cerebellar artery23
        Posterior inferior cerebellar artery26
        Vertebral artery8
        Basilar trunk8
        Posterior cerebral artery6
        Anterior inferior cerebellar artery1
    Anterior circulation (N = 500)
        Anterior communicating artery244
        Posterior communicating artery123
        Carotid tip25
        Carotid ophthalmic artery15
        Anterior choreoideal artery13
        Carotid hypophyseal artery1
        Middle cerebral artery49
        Pericallosal artery29
        Carotid cavernous sinus1
    • View popup
    Table 2:

    Morbidity and mortality for 8 procedural ruptures and 32 thromboembolic events in 681 patients

    Procedural RuptureThrombo-embolic Event
    Morbidity319
    Mortality513
    Total832
    • View popup
    Table 3:

    Odds ratios for different patient and aneurysm characteristics for the occurrence of all procedural complications leading to disability or death in 681 patients

    VariableOdds Ratio95% Confidence Interval
    Men0.710.34–1.48
    Timing after SAH
        ≤3 d0.750.39–1.44
        Between 4 and 11 d0.810.40–1.62
        ≥11 d1.900.94–3.84
    Aneurysm location
        Posterior circulation0.670.30–1.48
        Anterior cerebral artery1.000.52–1.92
        Middle cerebral artery1.470.50–4.32
        Carotid artery1.230.61–2.47
    Supportive balloon5.102.31–11.32
    Clinical condition at the time of treatment
        HH I–II0.670.35–1.28
        HH III1.490.78–2.84
        HH IV–V0.790.32–1.93
    Aneurysm size (mm)
        <50.760.39–1.51
        <100.590.31–1.13
        ≥101.580.79–3.13
        >151.550.58–4.12
    • Note:—SAH indicates subarachnoid hemorrhage; HH, Hunt and Hess scale.

    • View popup
    Table 4:

    Odds ratios for different patient and aneurysm characteristics for the occurrence of thromboembolic complications leading to disability or death in 681 patients

    VariableOdds Ratio95% Confidence Interval
    Men0.980.46–2.11
    Timing after SAH
        ≤3 d0.680.33–1.41
        Between 4 and 11 d1.150.55–2.40
        ≥111.440.63–3.28
    Aneurysm location
        Posterior circulation0.270.08–0.90
        Anterior cerebral artery1.350.66–2.74
        Middle cerebral artery1.360.40–4.62
        Carotid artery1.510.71–3.20
    Supportive balloon4.942.10–11.69
    Clinical condition at the time of treatment
        HH I–II0.710.35–1.45
        HH III1.410.69–2.88
        HH IV–V0.640.22–1.85
    Aneurysm size (mm)
        ≤50.440.19–1.02
        <100.490.24–1.01
        ≥102.281.10–4.72
        >150.440.76–5.51
    • Note:—SAH indicates subarachoid hemorrhage; HH, Hunt and Hess scale.

    • View popup
    Table 5:

    Odds ratios for different patient and aneurysm characteristics for the occurrence of procedural ruptures leading to disability or death in 681 patients

    VariableOdds Ratio95% Confidence Interval
    Men
    Timing after SAH
        ≤3 d1.150.29–4.64
        Between 4 and 11 d0
        ≥11 d4.341.07–17.60
    Aneurysm location
        Posterior circulation4.671.10–19.74
        Anterior cerebral artery0.210.03–1.74
        Middle cerebral artery1.860.22–15.43
        Carotid artery0.400.05–3.28
    Supportive balloon4.440.87–22.60
    Clinical condition at the time of treatment
        HH I–II0.560.14–2.25
        HH III1.790.44–7.23
        HH IV–V1.520.30–7.62
    Aneurysm size (mm)
        ≤54.920.99–24.55
        <101.360.27–6.80
        ≥100
        >150
    • Note:—SAH indicates subarachnoid hemorrhage; HH, Hunt and Hess scale.

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American Journal of Neuroradiology: 27 (7)
American Journal of Neuroradiology
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August 2006
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W.J. van Rooij, M. Sluzewski, G.N. Beute, P.C. Nijssen
Procedural Complications of Coiling of Ruptured Intracranial Aneurysms: Incidence and Risk Factors in a Consecutive Series of 681 Patients
American Journal of Neuroradiology Aug 2006, 27 (7) 1498-1501;

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Procedural Complications of Coiling of Ruptured Intracranial Aneurysms: Incidence and Risk Factors in a Consecutive Series of 681 Patients
W.J. van Rooij, M. Sluzewski, G.N. Beute, P.C. Nijssen
American Journal of Neuroradiology Aug 2006, 27 (7) 1498-1501;
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