Access-related complications in endovascular neurosurgery

Mithun G. Sattur, Matthew E. Welz, Bernard R. Bendok

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The proliferation of endovascular surgery for neurosurgical indications has resulted in the need for sincere reappraisal of the pitfalls and complications inherent in these procedures. The first step towards treating a complication is awareness and recognition of the problem. Complications during endovascular procedures can range from those occurring at the site of access to anywhere along the vascular roadmap as a result of the intravascular access. Additionally, the menu of access sites is vast, with possible puncture sites being femoral, radial or directly trans-carotid or even transcranial. This chapter provides a comprehensive list of tips and tricks to recognize, diagnose, manage and most importantly prevent complications from vascular access. The chapter is designed for easy access to material since it heavily relies on tables and figures drawn from the authors’ personal cases. Issues such as groin hematoma, pseudo aneurysm, thromboembolism and nephrotoxicity among others are described in detail along with steps towards complication avoidance. Much of the complications described are common across the spectrum of angiographic procedures in general and the chapter can serve as a resource for interventional cardiologists, radiologists and vascular surgeons.

Original languageEnglish (US)
Title of host publicationComplications in Neurosurgery
PublisherElsevier
Pages224-238
Number of pages15
ISBN (Electronic)9780323509619
ISBN (Print)9780323510509
DOIs
StatePublished - Jan 1 2018

Keywords

  • Access site complications
  • Closure device
  • Contrast nephropathy
  • Endovascular complications
  • Groin hematoma
  • Pseudoaneurysm
  • Retroperitoneal hematoma
  • Transfemoral approach

ASJC Scopus subject areas

  • Medicine(all)

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