Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report

Ning Xu, Hao Meng, Tianyi Liu, Yingli Feng, Yuan Qi, Honglei Wang Department of Neurosurgery, The First Hospital of Jilin University, Changchun 130021, China Abstract: A 45-year-old Chinese man presented with acute severe headache for 2 days. He was diagnosed as subarachnoid hemorrhage. Head CT an...

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Autores principales:	Xu N, Meng H, Liu T, Feng Y, Qi Y, Wang H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Acute thromboembolic complication intracranial aneurysm stent-assisted coil embolization re-canalized Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/3ba3e0fcc9fd4cf2a6a5a8e319c31666
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spelling	oai:doaj.org-article:3ba3e0fcc9fd4cf2a6a5a8e319c316662021-12-02T03:10:16ZTreatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report1178-2021https://doaj.org/article/3ba3e0fcc9fd4cf2a6a5a8e319c316662018-12-01T00:00:00Zhttps://www.dovepress.com/treatment-of-acute-thromboembolic-complication-after-stent-assisted-co-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Ning Xu, Hao Meng, Tianyi Liu, Yingli Feng, Yuan Qi, Honglei Wang Department of Neurosurgery, The First Hospital of Jilin University, Changchun 130021, China Abstract: A 45-year-old Chinese man presented with acute severe headache for 2 days. He was diagnosed as subarachnoid hemorrhage. Head CT and subsequent head digital subtraction angiography (DSA) showed left internal carotid artery (ICA) aneurysm in the supraclinoid segment. Stent-assisted coil embolization of aneurysm was performed. Three hours after the surgery, the patient was found to be drowsy and with paralysis of the right limb and slurred speech. Urgent head CT examination ruled out acute hemorrhage; however, DSA showed acute thrombosis in the left ICA between the branches of the ophthalmic artery and middle cerebral artery, which was probably from an acute in-stent thrombosis. Urokinase (100,000 units) was given through a micro-tube but failed to dissolve the thrombus; thus, stent embolectomy was performed, which successfully removed the thrombus. Repeat angiography showed that the left ICA was completely recanalized. Postoperatively, the patient regained consciousness and was well-limbed and fluent in speech. No neurological symptoms or signs were found at 6-, 12-, and 24-month follow-up. Keywords: acute thromboembolic complication, intracranial aneurysm, stent-assisted coil embolization, re-canalizedXu NMeng HLiu TFeng YQi YWang HDove Medical PressarticleAcute thromboembolic complicationintracranial aneurysmstent-assisted coil embolizationre-canalizedNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 69-74 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute thromboembolic complication intracranial aneurysm stent-assisted coil embolization re-canalized Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Acute thromboembolic complication intracranial aneurysm stent-assisted coil embolization re-canalized Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Xu N Meng H Liu T Feng Y Qi Y Wang H Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report
description	Ning Xu, Hao Meng, Tianyi Liu, Yingli Feng, Yuan Qi, Honglei Wang Department of Neurosurgery, The First Hospital of Jilin University, Changchun 130021, China Abstract: A 45-year-old Chinese man presented with acute severe headache for 2 days. He was diagnosed as subarachnoid hemorrhage. Head CT and subsequent head digital subtraction angiography (DSA) showed left internal carotid artery (ICA) aneurysm in the supraclinoid segment. Stent-assisted coil embolization of aneurysm was performed. Three hours after the surgery, the patient was found to be drowsy and with paralysis of the right limb and slurred speech. Urgent head CT examination ruled out acute hemorrhage; however, DSA showed acute thrombosis in the left ICA between the branches of the ophthalmic artery and middle cerebral artery, which was probably from an acute in-stent thrombosis. Urokinase (100,000 units) was given through a micro-tube but failed to dissolve the thrombus; thus, stent embolectomy was performed, which successfully removed the thrombus. Repeat angiography showed that the left ICA was completely recanalized. Postoperatively, the patient regained consciousness and was well-limbed and fluent in speech. No neurological symptoms or signs were found at 6-, 12-, and 24-month follow-up. Keywords: acute thromboembolic complication, intracranial aneurysm, stent-assisted coil embolization, re-canalized
format	article
author	Xu N Meng H Liu T Feng Y Qi Y Wang H
author_facet	Xu N Meng H Liu T Feng Y Qi Y Wang H
author_sort	Xu N
title	Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report
title_short	Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report
title_full	Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report
title_fullStr	Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report
title_full_unstemmed	Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report
title_sort	treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/3ba3e0fcc9fd4cf2a6a5a8e319c31666
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Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report

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