scholarly journals Traumatic epidural hematoma treated with endovascular coil embolization

2021 ◽  
Vol 12 ◽  
pp. 322
Author(s):  
Michael T. Madison ◽  
Patrick C. Graupman ◽  
Jason M. Carroll ◽  
Collin M. Torok ◽  
Jillienne C. Touchette ◽  
...  
Keyword(s):  
Epidural Hematoma ◽  
Middle Meningeal Artery ◽  
Endovascular Embolization ◽  
Cerebrovascular Injury ◽  
Surgical Evacuation ◽  
Life Threatening ◽  
Endovascular Coil Embolization ◽  
Traumatic Subarachnoid Hemorrhage ◽  
The Right

Background: Traumatic cerebrovascular injury may result in epidural hematoma (EDH) from laceration of the middle meningeal artery (MMA), which is a potentially life-threatening emergency. Treatment ranges from surgical evacuation to conservative management based on a variety of clinical and imaging factors. Case Description: A 14-year-old male presented to our institution after falling from his bicycle with traumatic subarachnoid hemorrhage and a right frontotemporal EDH. The patient did not meet criteria for surgical evacuation and endovascular embolization of the right MMA was performed. Rapid resolution of the EDH was observed. Conclusion: This case corroborates the sparse existing literature for the potential role of endovascular embolization to treat acute EDH in carefully selected patients who do not meet or have borderline indications for surgical management.

Transarterial N-Butyl-2-cyanoacrylate Embolization of an Intraosseous Dural Arteriovenous Fistula Associated With Acute Epidural Hematoma: Technical Case Report

2015 ◽  
Vol 11 (3) ◽  
pp. E468-E471 ◽  
Author(s):  
Shotaro Yoshioka ◽  
Kazuyuki Kuwayama ◽  
Junichiro Satomi ◽  
Shinji Nagahiro
Keyword(s):  
Epidural Hematoma ◽  
Clinical Presentation ◽  
Middle Meningeal Artery ◽  
Endovascular Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Maxillary Artery ◽  
Microsurgical Anatomy ◽  
The Right ◽  
Acute Epidural Hematoma

Abstract BACKGROUND AND IMPORTANCE Intraosseous dural arteriovenous fistulae (DAVF) are rare, especially those with drainage into the diploic venous system. The clinical presentation depends on the location of the lesion. This is the first report of an intraosseous DAVF associated with acute epidural hematoma. CLINICAL PRESENTATION A 25-year-old man presented with headache and nausea. Imaging of the brain revealed abnormal signals indicative of acute epidural hematoma in the right frontal convexity. Angiography demonstrated a DAVF in the region of the frontal bone. Right external carotid artery angiography showed that the DAVF was fed mainly by the right middle meningeal artery with drainage into diploic veins. Immediately after embolization of the middle meningeal and the distal internal maxillary artery with 17% N-butyl-2-cyanoacrylate, the shunt was completely occluded. The patient was discharged 4 days later without clinical complications. CONCLUSION Intraosseous DAVF can be treated by surgical resection or endovascular embolization. Curative treatment requires careful inspection of the angiographic architecture and microsurgical anatomy.

scholarly journals Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Eltaib Saad ◽  
Lauren O’Connell ◽  
Anne M. Browne ◽  
W. Khan ◽  
R. Waldron ◽  
...  
Keyword(s):  
Rare Complication ◽  
Rare Event ◽  
Decisive Role ◽  
Postoperative Monitoring ◽  
Refractory Hypotension ◽  
Life Threatening ◽  
The Right ◽  
Tomography Scan

We report on a 59-year-old female with symptomatic cholelithiasis on a background of morbid obesity who underwent an elective LC with an uncomplicated intraoperative course; however, she experienced a refractory hypotension within one hour postoperatively with an acute haemoglobin drop requiring fluid resuscitation and blood transfusion. A triphasic computed tomography scan revealed a large intrahepatic subcapsular haematoma (ISH) measuring 21   cm × 3.1   cm × 17   cm surrounding the lateral surface of the right hepatic lobe without active bleeding. She was managed conservatively with serial monitoring of haemoglobin and haematoma size. A follow-up ultrasound scan after eight weeks confirmed complete resolution of the haematoma. Giant ISH is a fairly rare, but life-threatening complication following LC which merits special attention. This case demonstrates the necessity of close postoperative monitoring of patients undergoing LC and considering the possibility of ISH, although being rare event, in those who experience a refractory postoperative hypotension. It also highlights the decisive role of diagnostic imaging in securing a timely and accurate diagnosis of post LC-ISH.

Calvarial Hemangioendothelioma with Intracranial Hemorrhage

Neurosurgery ◽  
1979 ◽  
Vol 4 (2) ◽  
pp. 178-180 ◽  
Author(s):  
Joseph C. Maroon ◽  
Stephen J. Haines ◽  
John G. Phillips
Keyword(s):  
Intracranial Hemorrhage ◽  
Bone Tumor ◽  
Epidural Hematoma ◽  
Surgical Excision ◽  
Occipital Bone ◽  
Tumor Vascularity ◽  
Wide Surgical Excision ◽  
Life Threatening ◽  
Acute Epidural Hematoma

Abstract A case of a hemangioendothelioma of the occipital bone that presented clinically as an acute epidural hematoma is reported. The literature regarding this rare bone tumor is reviewed. The treatment of choice seems to be wide surgical excision, but life-threatening hemorrhage may occur due to extreme tumor vascularity. The role of radiotherapy remains uncertain.

scholarly journals Contrast enhancement of chronic subdural hematomas after embolization of the middle meningeal artery

2019 ◽  
Vol 25 (5) ◽  
pp. 596-600 ◽  
Author(s):  
Pouya Entezami ◽  
Alan Boulos ◽  
Alexandra Paul ◽  
Emad Nourollahzadeh ◽  
John Dalfino
Keyword(s):  
Contrast Enhancement ◽  
Treatment Option ◽  
Subdural Hematoma ◽  
Middle Meningeal Artery ◽  
Endovascular Embolization ◽  
Interesting Phenomenon ◽  
Subdural Hematomas ◽  
Surgical Evacuation ◽  
New Treatment ◽  
Meningeal Artery

Chronic subdural hematomas are a common neurosurgical presentation. They are difficult to treat, and current interventions – namely surgical evacuation – are not without complications or recurrences. Embolization of the middle meningeal artery is a promising new treatment option for this pathology. We have noted an interesting phenomenon in our patients following endovascular embolization, which is that the subdural hematoma is stained with contrast following the procedure. This ties into the basic physiology of chronic subdurals, which parasitize the middle meningeal artery during the process of membrane formation and neovascularization, which has previously been reported.

scholarly journals Meningo-Orbital Foramen in South Gujarat population

2018 ◽  
Vol 07 (01) ◽  
pp. 012-016 ◽  
Author(s):  
Umesh P Modasiya ◽  
Sanjaykumar Kanani
Keyword(s):  
Ophthalmic Artery ◽  
Epidural Hematoma ◽  
Vascular Malformations ◽  
Practical Importance ◽  
Middle Meningeal Artery ◽  
Human Origin ◽  
Superior Orbital Fissure ◽  
Human Skulls ◽  
The Right ◽  
Meningeal Artery

Abstract Background & Aims: Meningo-orbital foramen is provides a route for an anastomosis between the meningo-orbital branch of the middle meningeal artery and recurrent meningeal branch of ophthalmic artery. Practical importance is emphasized when the middle meningeal artery has abnormal origin, in the cases of subtemporal epidural hematoma, tumors, vascular malformations and in the cases when the foramen spinosum is absent. Present study was undertaken in order to explore the frequency and positional anatomy of this foramen in ninety dry adult human skulls of south Gujarat population. Material & Method: This study was conducted on 90 dry skulls of human origin. Different parameters were noted. Result: Meningo-orbital foramen was absent bilaterally in 35[38.88%] of the skulls studied .The presence of the Meningo-orbital foramen was detected in the 55[61.11%] cases. It was present unilaterally in 30[33.33%] cases [10 on the right and 20 on the left side], and bilaterally in 25[27.77%] cases. Triple MOF were in 2 skulls on right orbit only. Largest variability was noted for distance from the lateral end of the superior orbital fissure. Conclusion: Knowledge of presence and variation in meningo-orbital foramen's anatomical parameter can be crucial for ophthalmologists and neurosurgeons.

scholarly journals Role of Catheter Ablation for Ventricular Arrhythmias in Brugada Syndrome

2021 ◽  
Vol 23 (5) ◽  
Author(s):  
Ronpichai Chokesuwattanaskul ◽  
Koonlawee Nademanee
Keyword(s):  
Catheter Ablation ◽  
Brugada Syndrome ◽  
Ventricular Arrhythmias ◽  
Structural Heart Disease ◽  
Therapeutic Modalities ◽  
Good Target ◽  
Arrhythmogenic Substrate ◽  
Life Threatening ◽  
The Right

Abstract Purpose of Review To discuss the role of catheter ablation in treating life-threatening ventricular arrhythmias associated with Brugada syndrome (BrS), by presenting recent findings of BrS arrhythmogenic substrate, mechanisms underlying ventricular arrhythmias, and how they can be treated with catheter ablation. Recent Findings Almost three decades ago when the clinical entity of Brugada syndrome (BrS) was described in patients who had abnormal coved-type ST elevation in the right precordial EKG leads in patients who had no apparent structural heart disease but died suddenly from ventricular fibrillation. Since its description, the syndrome has galvanized explosive research in this field over the past decades, driving major progress toward better understanding of BrS, gaining knowledge of the genetic pathophysiology and risk stratification of BrS, and creating significant advances in therapeutic modalities. One of such advances is the ability for electrophysiologists to map and identify the arrhythmogenic substrate sites of BrS, which serve as good target sites for catheter ablation. Subsequently, several studies have shown that catheter ablation of these substrates normalizes the Brugada ECG pattern and is very effective in eliminating these substrates and preventing recurrent VF episodes. Summary Catheter ablation has become an important addition for treatment of symptomatic BrS patients with recurrent VT/VF episodes.

Spontaneous Retroperitoneal Hemorrhage - A Rare Presentation of Polyarteritis Nodosa: Role of Angiography in Diagnosis and Management

2019 ◽  
Vol 3 ◽  
pp. 2 ◽  
Author(s):  
Pranav Sharma ◽  
Puneet Kochar ◽  
Salil Sharma ◽  
Eran Rotem
Keyword(s):  
Polyarteritis Nodosa ◽  
Abdominal Ct ◽  
Pancreaticoduodenal Artery ◽  
Rare Presentation ◽  
Contrast Extravasation ◽  
Retroperitoneal Hemorrhage ◽  
Active Extravasation ◽  
Life Threatening ◽  
The Right

Spontaneous retroperitoneal hemorrhage (RPH) is a rare but serious complication of polyarteritis nodosa (PAN) and must be considered in patients presenting with RPH as their first presentation. Renal infarctions, liver infarctions, and ruptured microaneurysms are all complications of PAN. We present two cases presenting with abdominal and back pain. The first patient’s abdominal computed tomography (CT) scan revealed fractured right kidney with retroperitoneal pericapsular hematoma and multiple hepatic and splenic infarcts. The digital subtraction angiography (DSA) demonstrated large areas of devascularization of the right kidney and right renal arterial wall irregularity with multifocal areas of stenosis, dilatations, and microaneurysms without active extravasation of IV contrast. She was treated conservatively and started on a pulsed dose of steroids and cyclophosphamide. The second patient’s abdominal CT angiography revealed multiple visceral aneurysms and focal areas of stenosis in branches of celiac axis and superior mesentery artery without active contrast extravasation. The DSA demonstrated multifocal areas of irregularity and narrowing in celiac and intrahepatic arteries as well as a 9 mm pseudoaneurysm in the inferior pancreaticoduodenal artery which was embolized with metallic coils. PAN has a vague clinical presentation and is clinically occult. Patients may be diagnosed while getting investigated for some other causes of abdominal pain. The emergency physician and the radiologist should be aware of the findings and should be able to correlate with pathology to prevent life-threatening complications. Angiography plays a crucial role, not only in diagnosis but also in appropriate management.

scholarly journals Endovascular embolization of spontaneous rupture of isolated splenic artery dissection associated with hemosuccus pancreaticus: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jianjun Jiang ◽  
Yang Liu ◽  
Xiangjiu Ding
Keyword(s):  
Coil Embolization ◽  
Splenic Artery ◽  
Computed Tomographic Angiography ◽  
Endovascular Embolization ◽  
Artery Dissection ◽  
Hemosuccus Pancreaticus ◽  
Computed Tomographic ◽  
Digestive Hemorrhage ◽  
Life Threatening ◽  
Endovascular Coil Embolization

Abstract Background Isolated splenic artery dissection (SAD) is extremely rare, life-threatening, and particularly difficult to diagnose. Moreover, SAD presenting as digestive hemorrhage has not been reported. Case presentation A 44-year-old man presented with recurrent life-threatening hematochezia. Magnetic resonance and computed tomographic angiography showed isolated SAD with an intrapancreatic hematoma. Selective angiography confirmed the diagnosis of rupture of SAD. Hemosuccus pancreaticus was considered the potential mechanism of digestive hemorrhage. It was successfully managed by endovascular coil embolization. Conclusions Isolated SAD is especially rare but fatal. Rupture of SAD should be considered in the differential diagnosis as a rare cause of digestive hemorrhage. Endovascular coil embolization is effective in treating ruptured SAD.

Serial angiography and endovascular treatment of dissecting aneurysms of the anterior cerebral and vertebral arteries

1999 ◽  
Vol 91 (4) ◽  
pp. 682-686 ◽  
Author(s):  
Kenichi Amagasaki ◽  
Tsutomu Yagishita ◽  
Shinichi Yagi ◽  
Katsuhiro Kuroda ◽  
Kazuyuki Nishigaya ◽  
...  
Keyword(s):  
Endovascular Embolization ◽  
Dissecting Aneurysm ◽  
Parent Artery ◽  
Content Type ◽  
Chronic Stage ◽  
Disturbance Of Consciousness ◽  
Endovascular Coil Embolization ◽  
The Right ◽  
Dissecting Aneurysms ◽  
Fine Print

✓ This 47-year-old man was admitted to the hospital with disturbance of consciousness due to subarachnoid hemorrhage caused by a ruptured dissecting aneurysm of the left anterior cerebral artery (ACA). Conservative treatment resulted in improvement in the patient's consciousness; however, repeated rupture occurred during the chronic stage. Endovascular coil embolization of the parent artery was successful. Serial angiography demonstrated all stages in the development of the aneurysm. Follow-up angiography demonstrated an incidental dissecting aneurysm of the right vertebral artery. This aneurysm was also treated by endovascular embolization. No new neurological deficit appeared during or after the treatment.Multiple dissecting aneurysms are rare, especially those involving both supra- and infratentorial regions. A ruptured dissecting aneurysm of the ACA is also an uncommon vascular disorder. This case shows that rebleeding may occur, even during the chronic stage, and thus appropriate treatment for the prevention of subsequent bleeding is essential. Incidental dissecting aneurysms can be treated using the endovascular technique, but further study is necessary.

scholarly journals Endovascular Embolization of an Aberrant Bronchial Artery Originating from the Internal Mammary Artery in a Patient with Hemoptysis

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Hiroyuki Fujii ◽  
Akifumi Fujita ◽  
Hiroyasu Nakamura ◽  
Takahiro Sasaki ◽  
Hideharu Sugimoto
Keyword(s):  
Internal Mammary Artery ◽  
Bronchial Artery ◽  
Endovascular Embolization ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Promising Tool ◽  
Internal Mammary ◽  
Life Threatening ◽  
The Right

Massive hemoptysis is a life threatening respiratory emergency with high mortality and the bronchial artery (BA) is its most frequent source. Herein, we report a case of a 76-year-old man with recurrent hemoptysis due to an aberrant right BA arising from the right internal mammary artery (IMA), an extremely rare origin, that was clearly depicted on pretreatment computed tomography angiography (CTA). The patient was treated successfully by transcatheter bronchial artery embolization (BAE) of the aberrant BA and the hemoptysis has since been controlled for 9 months. Knowledge of the detailed BA anatomy is essential for performing BAE, especially in cases of aberrant BA. CTA is a promising tool for pretreatment planning of emergency BAE in patients with hemoptysis.

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