Management of Ruptured Intracranial Aneurysm with Deep Vein Thrombosis
Deep vein thrombosis (DVT) is a known complication of aneurysmal subarachnoid hemorrhage (aSAH), and anticoagulant therapy is crucial for its management. However, in case of a ruptured intracranial aneurysm in a patient of DVT, anticoagulant administration may lead to rebleeding. Anticoagulants are...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2024-09-01
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Series: | Journal of Neuroanaesthesiology and Critical Care |
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787195 |
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author | Sneha Pandit Surya K. Dube Suman Sokhal Arvind Chaturvedi |
author_facet | Sneha Pandit Surya K. Dube Suman Sokhal Arvind Chaturvedi |
author_sort | Sneha Pandit |
collection | DOAJ |
description | Deep vein thrombosis (DVT) is a known complication of aneurysmal subarachnoid hemorrhage (aSAH), and anticoagulant therapy is crucial for its management. However, in case of a ruptured intracranial aneurysm in a patient of DVT, anticoagulant administration may lead to rebleeding. Anticoagulants are also associated with a risk of hematoma expansion. A systematic approach is required to weigh the risk and benefit ratio while managing such cases. We report the successful management of a 61-year-old female presenting with aSAH and associated DVT who had an intracranial vessel injury during intraoperative clipping of an aneurysm. |
format | Article |
id | doaj-art-a18278f1562b454abcf9ca70c5c68d48 |
institution | Kabale University |
issn | 2348-0548 2348-926X |
language | English |
publishDate | 2024-09-01 |
publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
record_format | Article |
series | Journal of Neuroanaesthesiology and Critical Care |
spelling | doaj-art-a18278f1562b454abcf9ca70c5c68d482025-01-10T23:57:27ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2024-09-01110318518710.1055/s-0044-1787195Management of Ruptured Intracranial Aneurysm with Deep Vein ThrombosisSneha Pandit0https://orcid.org/0000-0002-1366-4223Surya K. Dube1https://orcid.org/0000-0002-0224-360XSuman Sokhal2Arvind Chaturvedi3Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, IndiaDeep vein thrombosis (DVT) is a known complication of aneurysmal subarachnoid hemorrhage (aSAH), and anticoagulant therapy is crucial for its management. However, in case of a ruptured intracranial aneurysm in a patient of DVT, anticoagulant administration may lead to rebleeding. Anticoagulants are also associated with a risk of hematoma expansion. A systematic approach is required to weigh the risk and benefit ratio while managing such cases. We report the successful management of a 61-year-old female presenting with aSAH and associated DVT who had an intracranial vessel injury during intraoperative clipping of an aneurysm.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787195anticoagulationsubarachnoid hemorrhagedeep vein thrombosis |
spellingShingle | Sneha Pandit Surya K. Dube Suman Sokhal Arvind Chaturvedi Management of Ruptured Intracranial Aneurysm with Deep Vein Thrombosis Journal of Neuroanaesthesiology and Critical Care anticoagulation subarachnoid hemorrhage deep vein thrombosis |
title | Management of Ruptured Intracranial Aneurysm with Deep Vein Thrombosis |
title_full | Management of Ruptured Intracranial Aneurysm with Deep Vein Thrombosis |
title_fullStr | Management of Ruptured Intracranial Aneurysm with Deep Vein Thrombosis |
title_full_unstemmed | Management of Ruptured Intracranial Aneurysm with Deep Vein Thrombosis |
title_short | Management of Ruptured Intracranial Aneurysm with Deep Vein Thrombosis |
title_sort | management of ruptured intracranial aneurysm with deep vein thrombosis |
topic | anticoagulation subarachnoid hemorrhage deep vein thrombosis |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787195 |
work_keys_str_mv | AT snehapandit managementofrupturedintracranialaneurysmwithdeepveinthrombosis AT suryakdube managementofrupturedintracranialaneurysmwithdeepveinthrombosis AT sumansokhal managementofrupturedintracranialaneurysmwithdeepveinthrombosis AT arvindchaturvedi managementofrupturedintracranialaneurysmwithdeepveinthrombosis |