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KMID : 1001920140560040353
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Journal of Korean Neurosurgical Society
2014 Volume.56 No. 4 p.353 ~ p.355
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Coil Embolization in Ruptured Inferior Thyroid Artery Aneurysm with Active Bleeding
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Lee Sung-Ho
Choi Hyuk-Jai
Yang Jin-Seo
Cho Yong-Jun
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Abstract
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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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KEYWORD
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Aneurysm, Embolization, Tracheostomy, Hemorrhage
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