title: Endovascular treatment of aneurisms: pre, intra and post operative management.
abstract: The most frequent risk in endovascular aneurysm treatment is thromboembolic complications. Thus adjuvant pharmaceuticals are largely focused on preventing and treating these latter. Additionally symptomatic treatment of subarachnoid hemorrhage (SAH) and treatments to avoid vasospasm will enter into play in cases of ruptured aneurisms. Consensus exists in the literature neither for the necessity of heparin or antiplatelets nor for the doses to be administered. The principles and rationale of the use of these medications are reviewed with a discussion of protocols according with clinical situations and technical choices.
authors.affiliation: Université de Lorraine, France. s.bracard@chu-nancy.fr
authors.forename: S
authors.initials: S
authors.lastname: Bracard
authors.forename: C
authors.initials: C
authors.lastname: Barbier
authors.forename: A L
authors.initials: AL
authors.lastname: Derelle
authors.forename: R
authors.initials: R
authors.lastname: Anxionnat
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000379:methods; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000188:drug therapy / Q000601:surgery*; D020767:Intracranial Thrombosis / Q000209:etiology* / Q000517:prevention & control*; D011182:Postoperative Care / Q000379:methods; D011292:Premedication / Q000379:methods*; D011300:Preoperative Care / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D005343:Fibrinolytic Agents
keywords: Anticoagulation; Antiplatelet therapy; Cerebral aneurisms; Complications; Endovascular treatment; Thrombo-embolism