Severe subarachnoid hemorrhage with pulmonary edema successfully treated by intra-aneurysmal embolization using Guglielmi detachable coils

Miki Fujimura, Michiharu Nishijima, Kunihiko Umezawa, Hiroyuki Kon, Teruhiko Tanaka, Hiroshi Midorikawa

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

A 48-year-old male and a 39-year-old female presented with subarachnoid hemorrhage (SAH) due to ruptured anterior communicating artery aneurysms. Both patients were comatose on admission. Chest radiography disclosed pulmonary edema. They were conservatively treated under controlled ventilation, but cardiopulmonary dysfunction persisted over 2 days. The patients were then treated by intra-aneurysmal embolization with Guglielmi detachable coils (GDCs) 2 days after the onset. The postoperative courses were uneventful, and the patients showed full recovery from pulmonary edema and were discharged without neurological deficits. Neurogenic pulmonary edema is one of the serious complications of SAH, and is a leading cause of poor clinical outcome. The favorable outcomes of the present cases suggest that intra-aneurysmal embolization with GDCs is an excellent choice for the patients with severe aneurysmal SAH complicated with pulmonary edema, in whom conventional surgical treatment under general anesthesia is difficult to perform in the acute stage.

Original languageEnglish
Pages (from-to)135-139
Number of pages5
JournalNeurologia medico-chirurgica
Volume41
Issue number3
DOIs
Publication statusPublished - 2001 Apr 23

Keywords

  • Cerebral aneurysm
  • Guglielmi detachable coil
  • Intra-aneurysmal embolization
  • Pulmonary edema
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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