Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Coil Embolization in Ruptured Inferior Thyroid Artery Aneurysm with Active Bleeding

  • Lee, Sung Ho (Department of Neurosurgery, Kyung Hee University College of Medicine) ;
  • Choi, Hyuk Jai (Department of Neurosurgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital) ;
  • Yang, Jin Seo (Department of Neurosurgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital) ;
  • Cho, Yong Jun (Department of Neurosurgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital)
  • Received : 2014.06.01
  • Accepted : 2014.08.06
  • Published : 2014.10.28
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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.

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References

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