title: Vascular perforation during coil embolization of an intracranial aneurysm: the incidence, mechanism, and clinical outcome.
abstract: OBJECTIVE
  The occurrence of a vascular perforation during an endovascular procedure is an unexpected and feared complication which can be fatal. However, the incidence, risk or the mechanism of vascular perforation which can occur in the endovascular management of aneurysms remains unclear. The purpose of the present study was to evaluate the incidence of vascular perforation during endovascular coil embolization of a cerebral aneurysm, and to reveal characteristics and clinical outcomes.
  
  
  METHODS
  We reviewed the endovascular coil embolization procedures performed for the treatment of 459 aneurysms. Incidence and clinical, radiological and technical data of patients concerning the vascular perforation were reviewed from medical records and radiological findings.
  
  
  RESULTS
  The incidence of procedure-related vascular perforation in our patient group was 0.87% (4/459). For all four occurrences, the cause of vascular perforation involved the guidewire or microcatheter. Clinical outcome was poor in 2 cases and favorable in 2 cases.
  
  
  CONCLUSIONS
  Although rare, the occurrence of vascular perforation during coil embolization for treatment of an aneurysm may be fatal. Therefore, careful management of the guidewire is suggested for the prevention of vascular rupture during an endovascular procedure.
authors: Deapartment of Radiology, School of Medicine, Kyung Hee University, Seoul, Korea.
authors: Chang-Woo
authors: CW
authors: Ryu
authors: Chul-Young
authors: CY
authors: Lee
authors: Jun Seok
authors: JS
authors: Koh
authors: Seok Keun
authors: SK
authors: Choi
authors: Eui Jong
authors: EJ
authors: Kim