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Complication Avoidance and Management Research

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Cerebrovascular and Endovascular Neurosurgery

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Abstract

Complication avoidance is a major consideration with any surgical procedure, and evaluation of complications relies on clear definitions. However, defining what constitutes a complication can be difficult, as perspectives on errors of commission or omission often vary between providers and patients. Here, we present a concise analysis of complications related to neurovascular surgery (defined as any procedural care of patients with neurovascular diseases) and provide a framework for approaching research efforts. This is done by considering opportunities in disease screening and patient selection, perioperative morbidity reduction, and follow-up. In addition, the concept of complication avoidance through surgical simulation is briefly dealt with. This chapter is intended to serve as an initial reference point for the young neurovascular specialist for developing and elaborating on the concept of complication avoidance through various techniques of research.

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Abbreviations

ARUBA:

A Randomized trial of Unruptured Brain Arteriovenous malformations

COSS:

Carotid Occlusion Surgery Study

CTA:

Computed tomography angiography

DSA:

Digital subtraction angiography

DVT:

Deep vein thrombosis

EC-IC:

Extracranial-intracranial

EEG:

Electroencephalography

ICG:

Indocyanine green

ICH:

Intracerebral hemorrhage

ISUIA:

The International Study of Unruptured Intracranial Aneurysms

MEP:

Motor-evoked potential

PE:

Pulmonary embolism

PET:

Positron emission tomography

SEP:

Sensory evoked potentials

TIA:

Transient ischemic attack

TPA:

Tissue plasminogen activator

VTE:

Venous thromboembolism

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Authors and Affiliations

  1. Department of Neurological Surgery, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA

    Mithun G. Sattur M.D., Chandan Krishna M.D., Aman Gupta M.B.B.S., Matthew E. Welz M.S., Rami James N. Aoun M.D., M.P.H, Brian W. Chong M.D., F.R.C.P.(C), Pelagia Kouloumberis M.D., Mark K. Lyons M.D., Jamal Mcclendon Jr. M.D., Naresh Patel M.D., Kristin Swanson Ph.D., Richard S. Zimmerman M.D. & Bernard R. Bendok M.D., M.S.C.I

  2. Precision Neuro-Theraputics Innovation Lab, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA

    Mithun G. Sattur M.D., Aman Gupta M.B.B.S., Matthew E. Welz M.S., Rami James N. Aoun M.D., M.P.H, Kristin Swanson Ph.D. & Bernard R. Bendok M.D., M.S.C.I

  3. Neurosurgery Simulation and Innovation Lab, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA

    Mithun G. Sattur M.D., Aman Gupta M.B.B.S., Matthew E. Welz M.S., Rami James N. Aoun M.D., M.P.H & Bernard R. Bendok M.D., M.S.C.I

  4. Department of Anesthesia and Periop Med, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA

    Patrick B. Bolton M.D.

  5. Department of Radiology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA

    Brian W. Chong M.D., F.R.C.P.(C) & Bernard R. Bendok M.D., M.S.C.I

  6. Department of Neurology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA

    Bart M. Demaerschalk M.D., MSc., F.R.C.P.(C)

  7. Department of Critical Care Medicine, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA

    Ayan Sen M.D.

  8. Department of Otolaryngology, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ, USA

    Bernard R. Bendok M.D., M.S.C.I

Authors
  1. Mithun G. Sattur M.D.
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  2. Chandan Krishna M.D.
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  3. Aman Gupta M.B.B.S.
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  4. Matthew E. Welz M.S.
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  5. Rami James N. Aoun M.D., M.P.H
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  6. Patrick B. Bolton M.D.
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  7. Brian W. Chong M.D., F.R.C.P.(C)
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  8. Bart M. Demaerschalk M.D., MSc., F.R.C.P.(C)
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  9. Pelagia Kouloumberis M.D.
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  10. Mark K. Lyons M.D.
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  11. Jamal Mcclendon Jr. M.D.
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  12. Naresh Patel M.D.
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  13. Ayan Sen M.D.
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  14. Kristin Swanson Ph.D.
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  15. Richard S. Zimmerman M.D.
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  16. Bernard R. Bendok M.D., M.S.C.I
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Corresponding author

Correspondence to Bernard R. Bendok M.D., M.S.C.I .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Westchester Medical Center/NY Medical College, Valhalla, New York, USA

    Chirag D. Gandhi

  2. Department of Neurological Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA

    Charles J. Prestigiacomo

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Sattur, M.G. et al. (2018). Complication Avoidance and Management Research. In: Gandhi, C., Prestigiacomo, C. (eds) Cerebrovascular and Endovascular Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-65206-1_8

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  • DOI: https://doi.org/10.1007/978-3-319-65206-1_8

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