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Case Reports
. 2014 Oct;56(4):353-5.
doi: 10.3340/jkns.2014.56.4.353. Epub 2014 Oct 31.

Coil embolization in ruptured inferior thyroid artery aneurysm with active bleeding

Sung Ho Lee  1 , Hyuk Jai Choi  2 , Jin Seo Yang  2 , Yong Jun Cho  2
Affiliations
Case Reports

Coil embolization in ruptured inferior thyroid artery aneurysm with active bleeding

Sung Ho Lee et al. J Korean Neurosurg Soc. 2014 Oct.

Abstract

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.

Keywords: Aneurysm; Embolization; Hemorrhage; Tracheostomy.

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Figures

Fig. 1
Fig. 1
Neck computed tomography angiogram immediately after temporary hemostasis showing a saccular aneurysm (arrow) at the inferior thyroid artery.
Fig. 2
Fig. 2
A : Selected angiography into the thyrocervical trunk shows an inferior thyroid aneurysm 8 mm in diameter. B : Immediately after insertion of a single pushable coil into the parent artery, staining of the aneurysmal sac is still visible. C : Ten minutes later, the parent artery is completely occluded. D : Three days after the procedure, no aneurysm is seen on follow-up neck computed tomography angiogram.
See this image and copyright information in PMC

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