Complications in digital subtraction angiography: initial three years of experience

Serkan Civlan; Berk Burak Berker; Fatih Yakar; Eylem Teke; Erdal Çoşkun

Makale detayları

Complications in digital subtraction angiography: initial three years of experience

Yazarlar:

Serkan Civlan | Berk Burak Berker | Fatih Yakar | Eylem Teke | Erdal Çoşkun

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer) | Nöroloji ve Nöromüsküler Hastalıklar

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 2, pp.227-235

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001300682

pISSN:

1308-0865

Anahtar kelimeler:

Özet:

 Purpose: In this study, we describe the complications we encountered during digital subtraction angiographies DSA in our initial three years of experience and evaluate the risk factors in our patient population. Materials and methods: A series of 507 patients with different pathological processes were diagnosed via DSA in our institution from April 2019 through May 2022 and were retrospectively evaluated. During DSA, the date of the procedure, patient age, gender, comorbidities, catheter types, number of catheters used, and all procedure-related complications were recorded, even if they did not cause any neurological sequelae. Complications were categorized as neurological, non-neurological, or local. Results: Our study included a total of 507 patients. Of these, 256 50.5 were male, and 251 49.5 were female. The mean age of patients was 49.2 years range 5-91. The most preexisting comorbidity in patients was hypertension 22.5. Of 507 patients, a total of 10 patients had either a neurological complication, radiological complication, or angio-site-related complication, and the overall rate of complications was 0.02. In 6 patients with neurological complications, 3 0.6 had permanent neurological deficits, and 3 0.6 had transient deficits. In 4 patients with non-neurological complications, asymptomatic vasospasms were encountered in two cases; internal carotid artery ICA dissection was experienced in one case, and scrotal hematoma was observed in one case. Conclusion: Complications following DSA are rare but must be minimized with knowledge of the characteristics of the patients and determining the proper indication. Although the risk is low, complications such as thromboembolism can cause permanent neurological deficits and even death.

 Purpose: In this study, we describe the complications we encountered during digital subtraction angiographies DSA in our initial three years of experience and evaluate the risk factors in our patient population. Materials and methods: A series of 507 patients with different pathological processes were diagnosed via DSA in our institution from April 2019 through May 2022 and were retrospectively evaluated. During DSA, the date of the procedure, patient age, gender, comorbidities, catheter types, number of catheters used, and all procedure-related complications were recorded, even if they did not cause any neurological sequelae. Complications were categorized as neurological, non-neurological, or local. Results: Our study included a total of 507 patients. Of these, 256 50.5 were male, and 251 49.5 were female. The mean age of patients was 49.2 years range 5-91. The most preexisting comorbidity in patients was hypertension 22.5. Of 507 patients, a total of 10 patients had either a neurological complication, radiological complication, or angio-site-related complication, and the overall rate of complications was 0.02. In 6 patients with neurological complications, 3 0.6 had permanent neurological deficits, and 3 0.6 had transient deficits. In 4 patients with non-neurological complications, asymptomatic vasospasms were encountered in two cases; internal carotid artery ICA dissection was experienced in one case, and scrotal hematoma was observed in one case. Conclusion: Complications following DSA are rare but must be minimized with knowledge of the characteristics of the patients and determining the proper indication. Although the risk is low, complications such as thromboembolism can cause permanent neurological deficits and even death.

 Purpose: In this study, we describe the complications we encountered during digital subtraction angiographies DSA in our initial three years of experience and evaluate the risk factors in our patient population. Materials and methods: A series of 507 patients with different pathological processes were diagnosed via DSA in our institution from April 2019 through May 2022 and were retrospectively evaluated. During DSA, the date of the procedure, patient age, gender, comorbidities, catheter types, number of catheters used, and all procedure-related complications were recorded, even if they did not cause any neurological sequelae. Complications were categorized as neurological, non-neurological, or local. Results: Our study included a total of 507 patients. Of these, 256 50.5 were male, and 251 49.5 were female. The mean age of patients was 49.2 years range 5-91. The most preexisting comorbidity in patients was hypertension 22.5. Of 507 patients, a total of 10 patients had either a neurological complication, radiological complication, or angio-site-related complication, and the overall rate of complications was 0.02. In 6 patients with neurological complications, 3 0.6 had permanent neurological deficits, and 3 0.6 had transient deficits. In 4 patients with non-neurological complications, asymptomatic vasospasms were encountered in two cases; internal carotid artery ICA dissection was experienced in one case, and scrotal hematoma was observed in one case. Conclusion: Complications following DSA are rare but must be minimized with knowledge of the characteristics of the patients and determining the proper indication. Although the risk is low, complications such as thromboembolism can cause permanent neurological deficits and even death.

 Amaç: Bu çalışmada ilk üç yıllık deneyimimiz boyunca dijital substraksiyon anjiyografilerde DSA karşılaştığımız komplikasyonlar anlatılmış olup, hasta popülasyonumuzdaki risk faktörleri değerlendirilmiştir. Gereç ve yöntem: Kurumumuzda Nisan 2019dan Mayıs 2022ye kadar farklı patolojilere sahip 507 hastaya DSA işlemi uygulandı ve sonuçlar retrospektif olarak değerlendirildi. Anjiyografi sırasında herhangi bir nörolojik sekel saptanmasa bile işlem tarihi, hastanın yaşı, cinsiyeti, yandaş hastalıkları, kateter tipleri, kullanılan kateter sayısı ve işleme bağlı tüm komplikasyonlar kaydedildi. Komplikasyonlar nörolojik, nörolojik olmayan veya lokal olarak kategorize edildi. Bulgular: Çalışmamıza toplam 507 hasta dahil edildi. Hastaların 256sı 50,5 erkek, 251i 49,5 kadın olmakla beraber, ortalama yaşı 49,2 5-91 arası olarak saptandı. Primer patolojilere en çok eşlik eden hastalığın hipertansiyon olduğu görüldü 22,5. 507 hastadan toplam 10 hastada nörolojik komplikasyon, radyolojik komplikasyon veya anjiyo bölgesine bağlı komplikasyon görüldü ve genel komplikasyon oranı 0,02 olarak bulundu. Nörolojik komplikasyon gelişen 6 hastanın 3ünde 0,6 kalıcı nörolojik defisit, 3ünde 0,6 ise geçici nörolojik defisit saptandı. Nörolojik olmayan komplikasyon gelişen 4 hastada iki olguda asemptomatik vazospazm, bir olguda internal karotid arter İKA diseksiyonu, bir olguda skrotal hematom gözlendi. Sonuç: Dijital substraksiyon anjiografi esnasında komplikasyonlarla nadir olarak karşılaşılsa bile hastaların özelliklerinin bilinmesi ve uygun endikasyonun belirlenmesi ile komplikasyon oranı en az seviyeye indirilebilir. Risk oranının düşük olmasına ragmen tromboembolizm gibi komplikasyonlar kalıcı nörolojik defisitlere ve hatta ölüme neden olabilir.

Makale detayları

Complications in digital subtraction angiography: initial three years of experience

Yazarlar:

Serkan Civlan | Berk Burak Berker | Fatih Yakar | Eylem Teke | Erdal Çoşkun

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer) | Nöroloji ve Nöromüsküler Hastalıklar

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 2, pp.227-235

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001300682

pISSN:

1308-0865

Digital subtraction angiography

neurological complication

non-neurological complication

catheter

vasospasmDijital substraksiyon anjiografi

nörolojik komplikasyon

nörolojik olmayan komplikasyon

kateter

vazospazm

Sayı

Makale detayları

Yazarlar: Serkan Civlan | Berk Burak Berker | Fatih Yakar | Eylem Teke | Erdal Çoşkun

Yayıncı: Pamukkale University

Ana Başlıklar: Cerrahi (Diğer) | Nöroloji ve Nöromüsküler Hastalıklar

Dergi: Pamukkale Tıp Dergisi Vol.17 Issue 2, pp.227-235

Belge Tipi: Makale

Yayın Tarihi: 1/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001300682

pISSN: 1308-0865

Sayı

Yazarlar:

Serkan Civlan | Berk Burak Berker | Fatih Yakar | Eylem Teke | Erdal Çoşkun

Yayıncı:

Pamukkale University

Ana Başlıklar:

Cerrahi (Diğer) | Nöroloji ve Nöromüsküler Hastalıklar

Dergi:

Pamukkale Tıp Dergisi Vol.17 Issue 2, pp.227-235

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001300682

pISSN:

1308-0865