Hayashi Kentaro, Takahata Hideaki, Kitagawa Naoki
Department of Neurosurgery, Nagasaki University School of Medicine, Nagasaki, Japan.
Neurol Med Chir (Tokyo). 2007 Jun;47(6):261-4. doi: 10.2176/nmc.47.261.
A 68-year-old woman and a 42-year-old woman presented with subarachnoid hemorrhage due to rupture of cerebral aneurysm. Both patients were treated with endovascular coil embolization. Thromboembolic complications occurred during the procedure and local thrombolysis was performed for recanalization. One patient developed massive rebleeding immediately after the procedure and the other suffered minor hemorrhage adjacent to the embolized aneurysm 2 days later. Local thrombolysis during treatment of ruptured aneurysm by coil embolization carries a significant risk of rebleeding. Prevention of thromboembolic complication by adequate heparinization is important.
一名68岁女性和一名42岁女性因脑动脉瘤破裂出现蛛网膜下腔出血。两名患者均接受了血管内线圈栓塞治疗。术中发生血栓栓塞并发症，并进行了局部溶栓以实现再通。一名患者在术后立即发生大量再出血，另一名患者在术后2天在栓塞的动脉瘤附近发生少量出血。线圈栓塞治疗破裂动脉瘤时进行局部溶栓存在显著的再出血风险。通过充分肝素化预防血栓栓塞并发症很重要。
