Massive Hemorrhage from Arterial Access during Intracranial Aneurysm Stent-Assisted Embolization: Endovascular Diagnosis and Therapy

James T. Bui; Robert Jajko; Sean P. Zivin

doi:10.1055/s-0034-1396958

Seminars in Interventional Radiology, Inhaltsverzeichnis

Semin intervent Radiol 2015; 32(01): 014-017
DOI: 10.1055/s-0034-1396958

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Massive Hemorrhage from Arterial Access during Intracranial Aneurysm Stent-Assisted Embolization: Endovascular Diagnosis and Therapy

Autor*innen

James T. Bui

¹Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
Robert Jajko

¹Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
Sean P. Zivin

¹Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois

Abstract

Massive hemorrhage from arterial access in patients receiving anticoagulation and antiplatelet therapy is a rare but potentially devastating complication. The authors present a patient who developed a large retroperitoneal and anterior abdominal wall hemorrhage following an unintentional and unrecognized arterial injury during an endovascular procedure. Reversal of anticoagulation in patients who have undergone stent-assisted coil embolization of intracranial aneurysms is an undesirable approach due to the risk of thromboembolism; rather, transcatheter embolization of the bleeding source should be considered.

Keywords

inferior epigastric - embolization - hemorrhage - anticoagulation - interventional radiology

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Referenzen

References
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