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Related Experiment Video

Updated: May 27, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

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Published on: October 20, 2017

A checklist for cerebral aneurysm embolization complications.

Michael Chen1

  • 1Department of Neurological Sciences, Rush University Medical Center, Chicago, IL 60612, USA. chenm888@yahoo.com

Journal of Neurointerventional Surgery
|November 5, 2011
PubMed
Summary

Serious complications during cerebral aneurysm embolization, like perforation and thromboemboli, can happen even at experienced centers. A new role-based checklist aims to improve team response and minimize patient harm during these critical neuroendovascular events.

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Area of Science:

  • Neurosurgery
  • Interventional Neurology
  • Medical Device Technology

Background:

  • Cerebral aneurysm embolization is a critical neuroendovascular procedure.
  • Procedural complications, including aneurysm perforation and thromboemboli, pose significant risks.
  • Existing anecdotal experience provides limited guidance for managing these emergencies.

Purpose of the Study:

  • To review the most serious neuroendovascular procedural complications: aneurysm perforation and thromboemboli.
  • To propose a role-based checklist to manage these complications.
  • To enhance team preparedness and patient safety during cerebral aneurysm embolization.

Main Methods:

  • Literature review focusing on aneurysm perforation and thromboemboli during embolization.
  • Analysis of complication scenarios and management strategies.
  • Development of a structured, role-based checklist.

Main Results:

  • Identified aneurysm perforation and thromboemboli as the most severe complications.
  • Proposed a premeditated, role-based checklist for managing procedural emergencies.
  • Highlighted the importance of a structured plan for effective team function.

Conclusions:

  • A role-based checklist can standardize management of neuroendovascular complications.
  • Premeditated planning improves team performance and reduces patient harm.
  • Implementing checklists is crucial for patient safety in cerebral aneurysm embolization.