Coil Embolization in Ruptured Inferior Thyroid Artery Aneurysm with Active Bleeding.
10.3340/jkns.2014.56.4.353
- Author:
Sung Ho LEE
1
;
Hyuk Jai CHOI
;
Jin Seo YANG
;
Yong Jun CHO
Author Information
1. Department of Neurosurgery, Kyung Hee University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Aneurysm;
Embolization;
Tracheostomy;
Hemorrhage
- MeSH:
Aged;
Aneurysm*;
Angiography;
Arteries*;
Embolization, Therapeutic*;
Female;
Hemorrhage*;
Humans;
Parents;
Pneumonia;
Subarachnoid Hemorrhage;
Thyroid Gland*;
Tracheostomy
- From:Journal of Korean Neurosurgical Society
2014;56(4):353-355
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a unique experience of urgent parent arterial embolization for treatment of an aneurysm of the inferior thyroid artery (ITA) that bled during tracheostomy. The event happened to a 69-year-old female patient with subarachnoid hemorrhage and hospital-acquired pneumonia that required tracheostomy. Abrupt and massive bleeding developed during the procedure, and the source could not be identified. Under manual compression, angiography revealed an 8-mm aneurysm that arose from the inferior thyroid artery. The superselected parent artery of the aneurysm was successfully occluded with a single pushable coil. The patient's postoperative course was uneventful.