Clinical Case: Complications after Endovascular Treatment of Intracranial Aneurysm in a Patient after Subarachnoid Hemorrhage - Pages 9-15

Marinova R., Petrov N.* and Odiseeva Ev.

Department of Anesthesiology and Intensive Care, Military Medical Academy-Sofia, Sofia, Bulgaria



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.

Keywords: Intracranial Aneurysm, Endovascular Coiling, Subarachnoid Hemorrhage.