Table 3.
Periprocedural complications.
| Aneurysm description | Treatment | Description of complication | Management, outcome |
|---|---|---|---|
| # 8. Fusiform MCA M1, previously clipped | PED | Perforator-territory ischemic events, presented aphasia and paroxysmal right limb weakness, mRS 3 | Symptoms improved with intravenous application of tirofiban, mRS 0 at 12 months |
| # 10. Fusiform ACA A2, incidental |
PED + Coils | Perforator-territory ischemic events with infarct in the left basal ganglia and centrum semiovale, presented aphasia and right limb movement disorder, mRS 4 | Symptoms improved with intravenous application of tirofiban, mRS 3 at 6 months |
| # 13. Fusiform MCA M1, symptomatic | PED | Postoperative SAH and ipsilateral intraparenchymal hemorrhage | Decompressive craniectomy, hematoma evacuation. Patient died in 6 days post-procedure. |
| # 23. Fusiform MCA M1, incidental | PED | Perforator-territory ischemic events with infarct in the right temporal island and basal ganglia, presented aphasia, left central facial paralysis, and left limb hemiplegia, mRS 4 | Symptoms slightly improved after administration of IIb/IIIa inhibitor, mRS 3 at 11 months |
| # 24. Fusiform MCA M2, previously clipped | PED | Developed SAH 10 days post-procedure | Died in the emergency department of the local hospital. |
| # 33. Fusiform MCA M2, TIA | PED*2 | Transient hemiparesis 24 h after treatment, mRS 2 | Symptoms improved after after administration of IIb/IIIa inhibitor and Urinary Kallindinogenase, mRS 1 at 15 months |
| # 38. Saccular ACA A1, incidental |
PED + Coils | Postoperative in-stent thrombosis. Clinical deterioration 17 h post-procedure presented aphasia and right limb movement disorder, mRS 4 | Symptoms improved with intravenous application of tirofiban, mRS 1 at 6 months |
| # 41. Fusiform MCA M1, incidental | PED | Perforator-territory ischemic events, presented aphasia and left limb movement disorder, mRS 3 | Symptoms improved with intravenous application of tirofiban, mRS 1 at 10 months |
ACA, anterior cerebral artery; MCA, middle cerebral artery; PCA, posterior cerebral artery; AcomA, anterior communication artery; mRS, modified Rankin Score; TIA, transient ischemic attacks; PED, pipeline embolization device.