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OtherNeurointervention

Active Bleeding from Ruptured Cerebral Aneurysms during Diagnostic Angiography: Emergency Treatment

Joachim Klisch, Astrid Weyerbrock, Uwe Spetzger and Martin Schumacher
American Journal of Neuroradiology November 2003, 24 (10) 2062-2065;
Joachim Klisch
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Astrid Weyerbrock
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Uwe Spetzger
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Martin Schumacher
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    Fig 1.

    Case 1. A, Right ICA angiogram (anteroposterior view [left] and lateral-oblique view [right], arterial phase) shows an MCA aneurysm. During angiography, blood pressure dropped and an episode of bradycardia and mild local vasospasm of proximal MCA branches developed without visible extravasation.

    B, CT scans obtained immediately after angiography shows an SAH located in the right sylvian fissure.

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    Fig 2.

    Case 2. Left ICA angiograms (anteroposterior view, early arterial, and early venous phases) demonstrates active bleeding into the lentiform nucleus from an MCA aneurysm and mild local vasospasm.

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    Fig 3.

    Right ICA angiogram, anteroposterior view. Active bleeding from the reruptured anterior communicating artery aneurysm during the angiography is visible (left two pictures). The dome of the aneurysm is completely lacerated. Extravasation of contrast material into the chiasmal cistern is visible. The diameter of the neck is 1.9 mm, and the diameter of the fundus 4.5 mm. After detachment of the first coil, bleeding continued, and protrusion of the coil into the subarachnoid space was imminent. Closure of the aneurysm with parent vessel occlusion of the A1-A2 segment of the right anterior cerebral artery (right two pictures).

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American Journal of Neuroradiology: 24 (10)
American Journal of Neuroradiology
Vol. 24, Issue 10
1 Nov 2003
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Joachim Klisch, Astrid Weyerbrock, Uwe Spetzger, Martin Schumacher
Active Bleeding from Ruptured Cerebral Aneurysms during Diagnostic Angiography: Emergency Treatment
American Journal of Neuroradiology Nov 2003, 24 (10) 2062-2065;

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Active Bleeding from Ruptured Cerebral Aneurysms during Diagnostic Angiography: Emergency Treatment
Joachim Klisch, Astrid Weyerbrock, Uwe Spetzger, Martin Schumacher
American Journal of Neuroradiology Nov 2003, 24 (10) 2062-2065;
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