Rebleeding From a Vertebral Artery Dissecting Aneurysm After Endovascular Internal Trapping : Adverse Effect of Intrathecal Urokinase Injection or Incomplete Occlusion? : Case Report

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Author(s)

    • SUGIU Kenji
    • Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • TOKUNAGA Koji
    • Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • ONO Shigeki
    • Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • NISHIDA Ayumi
    • Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • DATE Isao
    • Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

Abstract

A 67-year-old woman suffered rebleeding from a ruptured vertebral artery dissecting aneurysm after endovascular internal trapping. The dissecting aneurysm was initially successfully occluded with the affected vertebral artery using detachable coils. However, rebleeding from the aneurysm occurred on the next day. The rebleeding may have resulted from the thrombolytic effect of urokinase, which was injected intrathecally 3 hours before rebleeding occurred, or the relatively loose coil packing of the aneurysm. This case indicates the potential risk of intrathecal use of thrombolytic agents and the importance of complete tight coil packing of the whole dissected site in the treatment of ruptured vertebral artery dissecting aneurysms.<br>

Journal

  • Neurologia medico-chirurgica

    Neurologia medico-chirurgica 49(12), 597-600, 2009-12-15

    The Japan Neurosurgical Society

References:  16

Cited by:  1

Codes

  • NII Article ID (NAID)
    10025949509
  • NII NACSIS-CAT ID (NCID)
    AN00358613
  • Text Lang
    ENG
  • Article Type
    Journal Article
  • ISSN
    04708105
  • Data Source
    CJP  CJPref  J-STAGE 
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