Coil embolization in ruptured inferior thyroid artery aneurysm with active bleeding.

J Korean Neurosurg Soc

Department of Neurosurgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.

Published: October 2014

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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219196PMC
http://dx.doi.org/10.3340/jkns.2014.56.4.353DOI Listing

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