Coil embolization in ruptured inferior thyroid artery aneurysm with active bleeding.
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.
Department of Neurosurgery, Kyung Hee University College of Medicine, Seoul, Korea.
Sung Ho
SH
Lee
Department of Neurosurgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
Hyuk Jai
HJ
Choi
Department of Neurosurgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
Jin Seo
JS
Yang
Department of Neurosurgery, Hallym University College of Medicine, Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
Yong Jun
YJ
Cho
Aneurysm; Embolization; Hemorrhage; Tracheostomy