Ruptured cerebral aneurysm complicated with rebleeding following thrombolysis during endovascular embolization - Two case reports

被引：4

作者：

Hayashi, Kentaro

Takahata, Hideaki

Kitagawa, Naoki

机构：

[1] Nagasaki Univ, Sch Med, Dept Neurosurg, Nagasaki 8528501, Japan

[2] Natl Hosp Org, Nagasaki Med Ctr, Dept Neurosurg, Nagasaki, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2007年 / 47卷 / 06期

关键词：

subarachnoid hemorrhage; cerebral aneurysm; endovascular coiling; thrombolysis; rebleeding;

D O I：

10.2176/nmc.47.261

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 68-year-old woman and a 42-year-old woman presented with subarachnoid hemorrhage due to rupture of cerebral aneurysm. Both patients were treated with endovascular coil embolization. Thromboembolic complications occurred during the procedure and local thrombolysis was performed for recanalization. One patient developed massive rebleeding immediately after the procedure and the other suffered minor hemorrhage adjacent to the embolized aneurysm 2 days later. Local thrombolysis during treatment of ruptured aneurysm by coil embolization carries a significant risk of rebleeding. Prevention of thromboembolic complication by adequate heparinization is important.

引用

页码：261 / 264

页数：4

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