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"And do no harm": Complications in interventional neuroradiology
Matthew D Alexander1, Van V Halbach2, Steven W Hetts3
1Departments of Radiology and Imaging Sciences, and Neurosurgery, University of Utah, Salt Lake City, UT, United States.
Handbook of Clinical Neurology
|December 4, 2020
Summary
Managing complications in interventional neuroradiology requires skilled practitioners, anatomical knowledge, and collaborative planning. Effective communication and addressing patient and practitioner well-being are crucial for mitigating risks like nontarget embolization and hemorrhage.
Area of Science:
- Interventional Neuroradiology
- Cerebrovascular Medicine
Background:
- Complications are inherent in interventional neuroradiology procedures.
- Mitigating these risks is essential for patient safety and successful outcomes.
Purpose of the Study:
- To provide an overview of common complications in interventional neuroradiology.
- To discuss practical management strategies for these complications.
- To address the emotional impact of complications on all involved.
Main Methods:
- Review of common complication types: nontarget embolization and hemorrhage.
- Discussion of management considerations.
- Consideration of emotional support for patients, families, and practitioners.
Main Results:
- Competency through training, anatomical knowledge, and planning are key to mitigating complications.
- Multidisciplinary team communication is vital throughout patient care.
- Specific management strategies for nontarget embolization and hemorrhage are outlined.
Conclusions:
- While complications cannot be eliminated, their impact can be significantly reduced.
- A comprehensive approach including technical skill, planning, communication, and emotional support is necessary.
- Effective management enhances patient care and practitioner well-being in interventional neuroradiology.
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