Summary
Rupture of an aneurysm during angiography, with extravasation of blood and contrast medium into the ventricular system occurs rarely.
We wish to add one personal observation to those few cases already published. Haemorrhage from an aneurysm of the internal carotid artery recurred during angiography in a 52-year-old comatose man. Through extravasation of blood and contrast medium into the ventricles these became fully visible on the X-ray screen. The question of a direct causal relationship between angiography and rupture of an aneurysm, the frequency and risk of this coincidence and mortality are discussed. Since computerised tomography now precedes angiography in cases of subarachnoid haemorrhage, complications arising from angiography could be reduced by proper timing.
Zusammenfassung
Die Ruptur eines Aneurysmas während einer Angiographie mit Einbruch von kontrastmittelhaltigem Blut in das Ventrikelsystem ist ein seltenes Ereignis.
Den wenigen publizierten Fällen wird eine eigene Beobachtung hinzugefügt. Bei einem bewußtlos zusammengebrochenen 52 Jahre alten Patienten ereignete sich während der Angiographie eine erneute Blutung aus einem Aneurysma der A.carotis interna. Durch Einbruch des mit Kontrastmittel durchmischten Blutes in die Ventrikel kam es zu einer vollständigen Darstellung der Hirnkammern.
Die Frage eines kausalen Zusammenhanges von Angiographie und Ruptur eines Aneurysmas, die Häufigkeit und das Risiko der Koinzidenz und die Mortalität werden diskutiert. Da die computertomographische Untersuchung der Angiographie bei Subarachnoidalblutungen vorausgeht, lassen sich durch richtige Zeitplanung die Komplikationen der Angiographie verringern.
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Todorow, S., Oldenkott, P. Rupture of an intracranial aneurysm of the carotid artery with ventricular visualization during angiography. Neurosurg. Rev. 4, 95–99 (1981). https://doi.org/10.1007/BF01837752
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DOI: https://doi.org/10.1007/BF01837752