• J Clin Anesth · May 2016

    Case Reports

    Increased airway pressure due to superior mediastinal hematoma during endovascular coiling by transcarotid approach.

    • Priyanka Gupta, Girija Prasad Rath, Sujoy Banik, and Charu Mahajan.
    • Department of Neuroanaesthesiology & Critical Care, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi, India.
    • J Clin Anesth. 2016 May 1; 30: 63-5.

    AbstractAn elderly woman with subarachanoid hemorrhage presented to our interventional neuroradiology suite for coil embolization of multiple intracranial aneurysms. The patient had difficult vascular access for the passage of microcatheter; hence, the embolization procedure was carried out with direct puncture of the left common carotid artery. During the procedure, the patient developed thromboembolism which was treated by administration of an antiplatelet agent, abciximab. At the end of procedure, she developed airway compromise due to extension of a local neck hematoma into the superior mediastinum. The management issues in such a scenario have been discussed.Copyright © 2016 Elsevier Inc. All rights reserved.

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