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CC BY 4.0 · J Neuroanaesth Crit Care 2024; 11(03): 185-187
DOI: 10.1055/s-0044-1787195
Case Report

Management of Ruptured Intracranial Aneurysm with Deep Vein Thrombosis

Autor*innen

  • Sneha Pandit 

    1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India

  • Surya K. Dube 

    1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India

  • Suman Sokhal

    1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India

  • Arvind Chaturvedi

    1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
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Abstract

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.

Keywords

anticoagulation - subarachnoid hemorrhage - deep vein thrombosis


Publikationsverlauf

Artikel online veröffentlicht:
18. Juni 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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