Serious adverse events with neurologic morbidity
| Patient Age (y)/Sex | Size and Location of Aneurysm | Description of Event and Cause of Event | Cause | Baseline Rankin or H& H | Outcome of Event and mRS at Last Follow-Up |
|---|---|---|---|---|---|
| Permanent morbidity | |||||
| 39/M | Large carotid ophthalmic | Ipsilateral visual loss due to leak in ophthalmic artery | Device | 0 | mRS = 1 |
| 42/F | Giant carotid cavernous | Worsened CN III, IV, V, and VI palsy, resolution of CN v aplsy | Procedure | 1 | mRS = 1 |
| 76/F | Small posterior communicating | Worsening of neurologic status (Grade, 2 H&H) | SAH | 2 | Lost to follow-up |
| 75/F | Giant carotid cavernous | Mild hemiparesis | Device (Onyx) | 1 | mRS = 1 |
| 44/M | Small carotid ophthalmic | Numbness in L leg caused by senosis of M3 MCA | Device (Onyx) | 0 | mRS = 1 |
| 56/M | Giant carotid ophthalmic | Onyx extravasation into subarachnoid space, SAH, severe hemiplegia | Device (Onyx) | 1 | Ongoing at 12 mnths, mRS = 4 |
| 45/F | Large carotid ophthalmic | Blindness in R eye post procedure with retinal infarct | Device (Onyx) | 0 | mRS = 1 |
| 55/F | Large carotid ophthalmic | Devloped delayed L MCA infarct 3 days afer retreatment with stent and Onyx caused aphasia and R hemiplegia | Device (Stent) | 2 | Ongoing at 3 months, mRS = 4 Partial resolution by 1 year |
| Transient neurologic morbidity | |||||
| 52/M | Large carotid ophthalmic | Developed symptomatic vasospasm with L hemiparesis; recent SAH | Disease | Grade 2 H&H | mRS = 0 Resolved |
| 47/F | Large superior | Developed transient hemiparesis | Device (also had stent placement) | 0 | mRS = 0 Resolved |
| 50/M | Large vertebro-basilar junction | Developed small SAH after catheter withdrawal; no neurologic deterioration; developed infected hematoma after 10 days retreatment procedure; required surgery | Procedure | ||
| 37/F | Small carotid cavernous | Developed confusion and ipsilateral hemiparesis headaches and nausea 1 week after treatment | Unknown | 1 | mRS = 1 Resolved by 6 months |
| 57/F | Large carotid cavernous | Procedural thrombus in left ICA; hemiparesis and aphasia; resolution of morbidity | Procedure | 0 | mRS = 1 Resolved by 2 days |
| 31/F | Large carotid ophthalmic | Transient hemiparesis | Procedure | 0 | mRS = 0 Resolved |
| 45/F | Large carotid ophthalmic | Developed worsened visual symptoms that subsequently improged | Device | 0 | mRS = 1 Complete resolution and visual improvement |
| 68/F | Recurrent basilar tip | Developed proximal brain stem stroke post procedure, probably thrombo-embolic, needed prolonged hospitalisation | Procedure | 1 | mRS = 2 Neurological symptoms fully resolved by 1 year |