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http://dx.doi.org/10.3340/jkns.2014.56.4.353

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)
Publication Information
Journal of Korean Neurosurgical Society / v.56, no.4, 2014 , pp. 353-355 More about this Journal
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.
Keywords
Aneurysm; Embolization; Tracheostomy; Hemorrhage;
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