Abstract W P83: The Clinical Sequelae of Intraprocedural Aneurysmal Ruptures

Introduction: Aneurysmal (SAH) continues to be a significant cause of morbidity and mortality, despite advances in neuro critical care and management of vasospasm. Endovascular techniques have evolved rapidly and are safe alternatives to surgical clipping. Nonetheless, intra procedural ruptures are a serious complication with long term consequences. Our aims were to note the vital sign changes leading up to an intraprocedural rupture and to determine clinical outcomes of patients who had experienced such an event. We investigated whether patients who received immediate balloon assistance upon rupture fared better post-procedurally. Methods: This study utilized a single institution retrospective analysis of consecutive cases of intraprocedural aneurysmal ruptures from July of 2009 to July 2014 at the Medical University of South Carolina. Patient charts and angiographic records were reviewed. All cases were performed under general anesthesia in the neuro interventional suite with invasive blood pressure mon...