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Three-Year Retrospective Study of Complications Arising during Interventional Procedures
M Leonardi1, P Cenni, M Spagnoli
1Servizio di Neuroradiologia, Ospedale Bellaria, Bologna; Italy - marco.leonardi@ausl.bologna.it.
Insights
This study evaluated complications from 246 endovascular procedures for conditions like aneurysms. The research found a 2% complication rate, including one death and three permanent neurological deficits.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Radiology
Background:
- Endovascular procedures are increasingly common for various vascular pathologies.
- Assessing complication rates is crucial for patient safety and treatment guidelines.
- International benchmarks provide a standard for evaluating local practice outcomes.
Purpose of the Study:
- To determine the complication rate of interventional procedures in daily practice.
- To compare these rates with international reference centers and guidelines.
- To analyze complications across seven distinct pathological conditions treated endovascularly.
Main Methods:
- Retrospective analysis of 246 interventional procedures performed between 2000 and 2002.
- Procedures covered aneurysms, arteriovenous malformations, fistulae, tumors, stenosis, and thrombolysis.
- Data collection focused on periprocedural complications and outcomes.
Main Results:
- Aneurysmal disease represented 45% of all endovascular procedures.
- Four periprocedural complications occurred during 246 interventions.
- The overall complication rate was 2%, including one death and three permanent neurological deficits.
Conclusions:
- The study established a 2% periprocedural complication rate for endovascular treatments in this practice.
- Findings align with acceptable outcomes for endovascular interventions.
- Continuous monitoring of complication rates is essential for refining interventional practices.
Summary:
This retrospective study aimed to assess the percentage of complications arising in our daily practice of interventional procedures, comparing our findings with those of leading international reference centers and accepted guidelines for endovascular treatment. During the threeyear period considered (2000-2002), we performed 246 interventional procedures, divided into seven different pathological conditions: aneurysms, brain AVMs dural and carotid cavernous fistulae, spine-spinal cord tumours, headneck tumours, carotid stenosis and thrombolysis. Aneurysmal disease accounted for 45% of all endovascular procedures. In conclusion, four periprocedural complications arose in the course of 246 procedures resulting in one death and three cases of permanent neurological deficit (2%).
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