Fatal rebleeding following coil embolization of cerebral aneurysms: the role of long-term systemic anticoagulation.
Publication/Presentation Date
5-1-2001
Abstract
Embolization of cerebral aneurysms has become a common technique. Its impact on subsequent medical management of the patient is not well known. We report two patients who presented in a poor neurological grade after subarachnoid hemorrhage from posterior communicating artery aneurysms. Both were treated by coil embolization and both developed subclavian vein thrombosis, requiring systemic anticoagulation, initiated 11 and 21 days after embolization, respectively. Both developed a large, fatal intracranial hemorrhage adjacent to the embolized aneurysm in the fourth week of anticoagulation. Systemic anticoagulation of patients who have had a ruptured aneurysm treated by coil embolization may carry a significant risk of rebleeding. Alternate management strategies should be considered in these patients.
Volume
43
Issue
5
First Page
398
Last Page
404
ISSN
0028-3940
Published In/Presented At
Sinson, G., Bagley, L. J., Flamm, E. S., & Hurst, R. W. (2001). Fatal rebleeding following coil embolization of cerebral aneurysms: the role of long-term systemic anticoagulation. Neuroradiology, 43(5), 398–404. https://doi.org/10.1007/s002340000497
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
11396746
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article