Severe Subarachnoid Hemorrhage With Pulmonary Edema Successfully Treated by Intra-aneurysmal Embolization Using Guglielmi Detachable Coils: Two Case Reports
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...
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| Veröffentlicht in: | Neurologia medico-chirurgica 2001, Vol.41(3), pp.135-139 |
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| container_title | Neurologia medico-chirurgica |
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| creator | FUJIMURA, Miki NISHIJIMA, Michiharu UMEZAWA, Kunihiko KON, Hiroyuki TANAKA, Teruhiko MIDORIKAWA, Hiroshi |
| description | 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. |
| doi_str_mv | 10.2176/nmc.41.135 |
| format | Article |
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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.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.41.135</identifier><identifier>PMID: 11372557</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>Adult ; Aneurysm, Ruptured - complications ; cerebral aneurysm ; Coma - etiology ; Embolization, Therapeutic - instrumentation ; Female ; Guglielmi detachable coil ; Humans ; intra-aneurysmal embolization ; Intracranial Aneurysm - complications ; Male ; Middle Aged ; Prostheses and Implants ; pulmonary edema ; Pulmonary Edema - etiology ; Pulmonary Edema - physiopathology ; Rupture, Spontaneous ; subarachnoid hemorrhage ; Subarachnoid Hemorrhage - etiology ; Subarachnoid Hemorrhage - therapy ; Treatment Outcome</subject><ispartof>Neurologia medico-chirurgica, 2001, Vol.41(3), pp.135-139</ispartof><rights>2001 by The Japan Neurosurgical Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-e9362f5ddca8d18c601c2b4162c64bef195dff707e8f4579df904fe94cb4b5f53</citedby><cites>FETCH-LOGICAL-c428t-e9362f5ddca8d18c601c2b4162c64bef195dff707e8f4579df904fe94cb4b5f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,1881,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11372557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FUJIMURA, Miki</creatorcontrib><creatorcontrib>NISHIJIMA, Michiharu</creatorcontrib><creatorcontrib>UMEZAWA, Kunihiko</creatorcontrib><creatorcontrib>KON, Hiroyuki</creatorcontrib><creatorcontrib>TANAKA, Teruhiko</creatorcontrib><creatorcontrib>MIDORIKAWA, Hiroshi</creatorcontrib><title>Severe Subarachnoid Hemorrhage With Pulmonary Edema Successfully Treated by Intra-aneurysmal Embolization Using Guglielmi Detachable Coils: Two Case Reports</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>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.</description><subject>Adult</subject><subject>Aneurysm, Ruptured - complications</subject><subject>cerebral aneurysm</subject><subject>Coma - etiology</subject><subject>Embolization, Therapeutic - instrumentation</subject><subject>Female</subject><subject>Guglielmi detachable coil</subject><subject>Humans</subject><subject>intra-aneurysmal embolization</subject><subject>Intracranial Aneurysm - complications</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prostheses and Implants</subject><subject>pulmonary edema</subject><subject>Pulmonary Edema - etiology</subject><subject>Pulmonary Edema - physiopathology</subject><subject>Rupture, Spontaneous</subject><subject>subarachnoid hemorrhage</subject><subject>Subarachnoid Hemorrhage - etiology</subject><subject>Subarachnoid Hemorrhage - therapy</subject><subject>Treatment Outcome</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc-KFDEQh4Mo7rDuxQeQnDwIPSbppJM-icyOuwsLCruLxyZ_KjORpHtNuoXxEXxqIzOuRy9Vh_r4VVEfQq8pWTMqu_djsmtO17QVz9CKtrxvFGH9c7QiXJJGUSLO0EUpwRDCuOKtki_RGaWtZELIFfp1Bz8gA75bjM7a7scpOHwNacp5r3eAv4Z5j78sMU2jzge8dZB0ha2FUvwS4wHfZ9AzOGwO-Gacs270CEs-lKQj3iYzxfBTz2Ea8UMJ4w5fLbsYIKaAL2GuC7WJgDdTiOUVeuF1LHBx6ufo4dP2fnPd3H6-utl8vG0sZ2puoG875oVzVitHle0Itcxw2jHbcQOe9sJ5L4kE5bmQvfM94R56bg03wov2HL095j7m6fsCZR5SKBZirIdPSxkkUV0nJPsvyIjihHBewXdH0OaplAx-eMwh1X8NlAx_LA3V0sDpUC1V-M0pdTEJ3D_05KQCH47AtzJXBU-AznOwEf5mtcdSI58m9Zt5gLH9Dbmlp0g</recordid><startdate>20010101</startdate><enddate>20010101</enddate><creator>FUJIMURA, Miki</creator><creator>NISHIJIMA, Michiharu</creator><creator>UMEZAWA, Kunihiko</creator><creator>KON, Hiroyuki</creator><creator>TANAKA, Teruhiko</creator><creator>MIDORIKAWA, Hiroshi</creator><general>The Japan Neurosurgical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20010101</creationdate><title>Severe Subarachnoid Hemorrhage With Pulmonary Edema Successfully Treated by Intra-aneurysmal Embolization Using Guglielmi Detachable Coils</title><author>FUJIMURA, Miki ; NISHIJIMA, Michiharu ; UMEZAWA, Kunihiko ; KON, Hiroyuki ; TANAKA, Teruhiko ; MIDORIKAWA, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-e9362f5ddca8d18c601c2b4162c64bef195dff707e8f4579df904fe94cb4b5f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aneurysm, Ruptured - complications</topic><topic>cerebral aneurysm</topic><topic>Coma - etiology</topic><topic>Embolization, Therapeutic - instrumentation</topic><topic>Female</topic><topic>Guglielmi detachable coil</topic><topic>Humans</topic><topic>intra-aneurysmal embolization</topic><topic>Intracranial Aneurysm - complications</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prostheses and Implants</topic><topic>pulmonary edema</topic><topic>Pulmonary Edema - etiology</topic><topic>Pulmonary Edema - physiopathology</topic><topic>Rupture, Spontaneous</topic><topic>subarachnoid hemorrhage</topic><topic>Subarachnoid Hemorrhage - etiology</topic><topic>Subarachnoid Hemorrhage - therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FUJIMURA, Miki</creatorcontrib><creatorcontrib>NISHIJIMA, Michiharu</creatorcontrib><creatorcontrib>UMEZAWA, Kunihiko</creatorcontrib><creatorcontrib>KON, Hiroyuki</creatorcontrib><creatorcontrib>TANAKA, Teruhiko</creatorcontrib><creatorcontrib>MIDORIKAWA, Hiroshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FUJIMURA, Miki</au><au>NISHIJIMA, Michiharu</au><au>UMEZAWA, Kunihiko</au><au>KON, Hiroyuki</au><au>TANAKA, Teruhiko</au><au>MIDORIKAWA, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe Subarachnoid Hemorrhage With Pulmonary Edema Successfully Treated by Intra-aneurysmal Embolization Using Guglielmi Detachable Coils: Two Case Reports</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>2001-01-01</date><risdate>2001</risdate><volume>41</volume><issue>3</issue><spage>135</spage><epage>139</epage><pages>135-139</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><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.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>11372557</pmid><doi>10.2176/nmc.41.135</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese |
| subjects | Adult Aneurysm, Ruptured - complications cerebral aneurysm Coma - etiology Embolization, Therapeutic - instrumentation Female Guglielmi detachable coil Humans intra-aneurysmal embolization Intracranial Aneurysm - complications Male Middle Aged Prostheses and Implants pulmonary edema Pulmonary Edema - etiology Pulmonary Edema - physiopathology Rupture, Spontaneous subarachnoid hemorrhage Subarachnoid Hemorrhage - etiology Subarachnoid Hemorrhage - therapy Treatment Outcome |
| title | Severe Subarachnoid Hemorrhage With Pulmonary Edema Successfully Treated by Intra-aneurysmal Embolization Using Guglielmi Detachable Coils: Two Case Reports |
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