Anesthetic Management of the Pregnant Patient for Endovascular Coiling of an Unruptured Intracranial Aneurysm

2006 ◽  
Vol 4 (1) ◽  
pp. 018-020 ◽  
Author(s):  
G. Allen ◽  
P. Farling ◽  
D. McAtamney
Keyword(s):  
Intracranial Aneurysm ◽  
Anesthetic Management ◽  
Pregnant Patient ◽  
Endovascular Coiling ◽  
Unruptured Intracranial Aneurysm

Anesthetic Management of Intracranial Aneurysms

2018 ◽  
Author(s):  
Matthew J Hammer ◽  
Laura B Hemmer
Keyword(s):  
Intracranial Aneurysm ◽  
Intracranial Aneurysms ◽  
Motor Evoked Potentials ◽  
Anesthetic Management ◽  
Endovascular Coiling ◽  
Key Words Adenosine ◽  
The Past ◽  
Surgical Clip ◽  
Complex Patients ◽  
Grading Scales

Despite efforts in the past decades to improve outcomes, intracranial aneurysm surgery still carries a considerable mortality risk, and its complications can cause a marked disability. To optimize and safely anesthetize a patient for these high-risk surgeries, the anesthesiologist must have a detailed understanding of the natural history, systemic physiologic perturbations, and intraoperative and postoperative complications of intracranial aneurysms. Various grading scales are used to predict adverse events, such as vasospasm or mortality, and are outlined in this chapter. Endovascular coiling and open surgical clip ligation (clipping) are the two most commonly employed interventions for treatment of aneurysms. The anesthetic goals for these complex patients are summarized.   This review contains 2 tables and 59 references.  Key Words: adenosine, burst suppression, emergence hypertension, endovascular coiling, indocyanine green, intracranial aneurysm clipping, intraoperative hypothermia, motor evoked potentials

scholarly journals Anesthetic Management of a Case of Coarctation of Aorta Taken Up for Intracranial Aneurysm Coiling

2019 ◽  
Vol 7 (01) ◽  
pp. 38-40
Author(s):  
Shamik Paul ◽  
Summit D. Bloria ◽  
Hemant Bhagat ◽  
Ankur Luthra
Keyword(s):  
Intracranial Aneurysm ◽  
Anesthetic Management ◽  
Coarctation Of Aorta ◽  
Unruptured Intracranial Aneurysm ◽  
Anesthetic Considerations ◽  
Aneurysm Coiling

AbstractWe describe our experience of management of a young hypertensive male taken up for coiling of an unruptured intracranial aneurysm whom we diagnosed to be a case of coarctation of aorta during preanesthetic check-up. This diagnosis changed the treatment of the patient completely. We report this to emphasize the need to do a thorough preoperative check-up in every case. We also touch upon the important anesthetic considerations to be observed while managing such cases.

Endovascular coiling vs. surgical clipping for unruptured intracranial aneurysm: A meta-analysis

2015 ◽  
Vol 29 (4) ◽  
pp. 485-492 ◽  
Author(s):  
Changhu Ruan ◽  
Hu Long ◽  
Hong Sun ◽  
Min He ◽  
Kaiyong Yang ◽  
...  
Keyword(s):  
Intracranial Aneurysm ◽  
Meta Analysis ◽  
Endovascular Coiling ◽  
Surgical Clipping ◽  
Unruptured Intracranial Aneurysm

Reactive Expansive Intracerebral Process as a Complication of Endovascular Coil Treatment of an Unruptured Intracranial Aneurysm: Case Report

Neurosurgery ◽  
2011 ◽  
Vol 68 (5) ◽  
pp. E1468-E1474 ◽  
Author(s):  
Marton König ◽  
Søren Jacob Bakke ◽  
David Scheie ◽  
Wilhelm Sorteberg ◽  
Torstein Ragnar Meling
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysm ◽  
Internal Carotid ◽  
Case Reports ◽  
Mass Effect ◽  
Histological Evaluation ◽  
Endovascular Coiling ◽  
Unruptured Intracranial Aneurysm ◽  
Bifurcation Aneurysm

Abstract BACKGROUND AND IMPORTANCE: As a consequence of the increased use of endovascular coiling of intracranial aneurysms, a growing number of case reports on complications are being reported. This article presents a case with a previously undescribed complication of coil treatment: a reactive, noninfectious process after coiling of an unruptured intracranial aneurysm CLINICAL PRESENTATION: A 60-year-old hypertensive woman with hypoxic encephalopathy after respiratory arrest following a total thyroidectomy had extensive intentional myoclonus and reduced quality of life as sequelae. An asymptomatic 15-mm internal carotid artery bifurcation aneurysm was discovered on magnetic resonance imaging (MRI) 6 months after the thyroidectomy. After documented growth, the aneurysm was treated endovascularly with bare platinum Guglielmi detachable coils. Three months later, an expansion in the right frontal lobe cranially to the coiled aneurysm was observed. The lesion had grown at the 12-month postcoil MRI and, because of its increasing mass effect, was resected through a craniotomy 2 years after the coiling. As a result of lesion regrowth and cyst formation, she underwent a new craniotomy 5 years later with excision of the now 21-mm large coiled aneurysm, internal carotid artery clip reconstruction, and lesionectomy. Five months postoperatively, the process had not recurred. No signs of malignancy or infection were observed during the histological evaluation of the resected tissue. The tissue is described as a reactive, noninfectious process, most likely resulting from the coils acting as a foreign body. CONCLUSION: This article presents a case with a reactive expansive intracerebral process as a complication to endovascular coil treatment of an unruptured intracranial aneurysm.

scholarly journals Endovascular coiling versus neurosurgical clipping in patients with unruptured intracranial aneurysm: a systematic review

BMC Neurology ◽  
2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Jin Seub Hwang ◽  
Min Kyung Hyun ◽  
Hyun Joo Lee ◽  
Ji Eun Choi ◽  
Jong Hee Kim ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intracranial Aneurysm ◽  
Endovascular Coiling ◽  
Unruptured Intracranial Aneurysm

Clinical Case: Complications after Endovascular Treatment of Intracranial Aneurysm in a Patient after Subarachnoid Hemorrhage

2020 ◽  
Vol 8 (1) ◽  
pp. 9-15
Author(s):  
Petrov Nikolay ◽  
◽  
Marinova R. ◽  
Odiseeva Ev.
Keyword(s):  
Intracranial Aneurysm ◽  
Endovascular Treatment ◽  
Clinical Case ◽  
Endovascular Coiling ◽  
Published Data ◽  
Military Medical Academy ◽  
Life Threatening ◽  
Arachnoid Hemorrhage ◽  
The Right ◽  
Brain Artery

Abstract: Intracranial aneurysm is one of the most common neurovascular complications. During the recent years the accepted treatment of enraptured cranial aneurysm is noninvasive endovascular coiling. This technique is modern but it is not without complications which can be serious and life-threatening. A clinical case of a patient admitted to the ICU of Military Medical Academy - Sofia with sub arachnoid hemorrhage is described. After a positive clinical course, the check-up magnetic resonance showed intracranial aneurism of the right carotid artery. The patient underwent angiographic endovascular treatment. Vasospasm of the middle and right brain artery and thrombosis were detected during the procedure. Attempt of thromboaspiration was made without success. This article reviews published data on broad-spectrum researches concerning complications of endovascular coiling of intracranial aneurysms and the ways to prevent and reduce them.

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