Buscar en
Revista Científica de la Sociedad Española de Enfermería Neurológica (English ed.)
Toda la web
Inicio Revista Científica de la Sociedad Española de Enfermería Neurológica (Englis... Local and intracraneal complications derived from cerebral arteriography
Journal Information
Share
Share
Download PDF
More article options
Visits
187
Original article
Local and intracraneal complications derived from cerebral arteriography
Complicaciones locales e intracraneales derivadas de la arteriografía cerebral
Visits
187
Mònica Serrano Clerenciaa,b, Almudena Sánchez-Gómeza,b, Anna Grau Ginera,b, Laura Cardete Moralesa,b, Sergi Amaro Delgadoa,b,
Corresponding author
samaro@clinic.cat

Corresponding author.
a Instituto de Neurociencias, Servicio de Neurología, Hospital Clínic de Barcelona, Barcelona, Spain
b Instituto de Neurociencias, Maeztu Center, Universidad de Barcelona, Barcelona, Spain
This item has received
Received 19 November 2021. Accepted 15 February 2022
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Tables (6)
Table 1. Differences between complication and non-complication groups.
Table 2. Differences between complications and non-complications group related to arteriography.
Table 3. Differences between groups of local complications and non-local complications.
Table 4. Differences between group of local complications and non-local complications related to arteriography.
Table 5. Differences between intracranial complications and non-intracranial complications groups.
Table 6. Differences between intracranial complications (IC) and non-intracranial complications (IC) group related to arteriography.
Show moreShow less
Abstract
Background

Although cerebral angiography is the reference technique for the diagnosis and treatment of cerebrovascular diseases, it is not without complications.

Objectives

To determine the incidence and risk factors of complications derived from therapeutic cerebral angiography (TCA), as well as to assess the risk factors associated with the appearance of local and intracranial complications.

Methodology

Retrospective cross-sectional study on TCAs carried out in 2018 on admission to the Stroke Unit of the Hospital Clínic de Barcelona. The study was approved by the centre’s ethics committee. Demographic, clinical, analytical, and procedure-derived variables were collected. All patients older than 18 years undergoing TCA were included. Patients undergoing diagnostic cerebral arteriography and/or with a hospital stay less than 24h were excluded. The Mann-Whitney U test was used for the comparison of quantitative variables and Pearson’s Chi-squared test for the qualitative variables.

Results

Complications were frequent, occurring in almost half of the sample (44%). A longer duration of arteriography was associated with an increase in local complications (p=.005). Intracranial complications occurred in 33% of the patients who underwent mechanical thrombectomy and were associated with older age (p=.012), stent use (associated or not with aspiration) (p=.003), and complete recanalization (p=.02), as well as having a worse functional status at discharge (p=.006).

Conclusions

Complications derived from ACT are frequent. Their importance and incidence must be known to detect those subjects at higher risk for developing them due to their functional implications and increased hospital stay.

Keywords:
Cerebral angiography
Postoperative complications
Thrombectomy
Embolization
Therapeutic
Intracranial aneurysm
Resumen
Fundamento

La arteriografía cerebral es la técnica de referencia para el diagnóstico y tratamiento de enfermedades cerebrovasculares. No obstante, no está exenta de complicaciones.

Objetivo

Determinar la incidencia de las complicaciones derivadas de la arteriografía cerebral terapéutica (ACT) y evaluar cuáles son los factores de riesgo asociados a la aparición de complicaciones tanto locales como intracraneales.

Metodología

Estudio retrospectivo transversal sobre las ACT realizadas en el año 2018 que ingresaban en la Unidad de Ictus del Hospital Clínic de Barcelona. El estudio fue aprobado por el comité ético del centro. Se recopilaron variables demográficas, clínicas, analíticas y derivadas del procedimiento. Se incluyeron todos los pacientes mayores de 18 años sometidos a una ACT durante el 2018. Se excluyeron los pacientes sometidos a arteriografías cerebrales diagnósticas y con una estancia hospitalaria menor a 24horas. Se utilizó el test U de Mann Whitney para la comparación de variables cuantitativas y el test Chi cuadrado de Pearson para las cualitativas.

Resultados

Las complicaciones han sido frecuentes, llegándose a producir casi en la mitad de la muestra (44%). Se ha asociado la mayor duración de la arteriografía con un aumento de las complicaciones locales (p=0,005). Las complicaciones intracraneales ocurrieron en un 33% de los pacientes sometidos a trombectomía mecánica y se asociaron con presentar una edad más avanzada (p=0,012), el uso del stent (asociado o no a aspiración) (p=0,003) y una recanalización completa (p=0,02) así como el comportar un peor estado funcional al alta (p=0,006).

Conclusiones

Las complicaciones derivadas de la ACT son frecuentes. Se debe conocer su importancia e incidencia para poder detectar a aquellos sujetos con mayor riesgo a su desarrollo por sus implicaciones funcionales y de aumento de estancia hospitalaria.

Palabras clave:
Angiografía
Complicaciones posoperatorias
Trombectomía
Embolización terapéutica
Aneurisma intracraneal

Article

These are the options to access the full texts of the publication Revista Científica de la Sociedad Española de Enfermería Neurológica (English ed.)
Member
Si es usted socio de SEDENE:
Diríjase al área privada de socios de la web de la SEDENE, (https://sedene.com/revista-de-sedene/ ) y autentifíquese.
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos