Korean J Anesthesiol.  2010 Dec;59(Suppl):S187-S190. 10.4097/kjae.2010.59.S.S187.

Retroperitoneal hematoma after coil embolization of cerebral aneurysm: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. ohara@snu.ac.kr
  • 2Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.

Abstract

We present the case of a 57-year-old man who developed retroperitoneal hemorrhage due to unintentional arterial puncture during femoral artery cannulation for Guglielmi detachable coil embolization. On emergence from anesthesia, he developed severe hypotension. Computed tomographic angiogram of the abdomen showed retroperitoneal hematomas around the urinary bladder, liver, and spleen. Because femoral artery cannulation is a common procedure for intravascular embolization in neuroradiologic procedures, Clinicians should be aware of the development of severe hematomas as a consequence of femoral artery puncture.

Keyword

Cerebral aneurysm; GDC embolization; Intervention; Retroperitoneal hemorrhage

MeSH Terms

Abdomen
Anesthesia
Catheterization
Femoral Artery
Hematoma
Hemorrhage
Humans
Hypotension
Intracranial Aneurysm
Liver
Middle Aged
Punctures
Spleen
Urinary Bladder
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