Ventriculostomy associated haemorrhage: a complication of anti-platelet therapy during coiling.

Abstract

A young man with Fisher grade IV subarachnoid haemorrhage (SAH) underwent aneurysm coiling following external ventriculostomy. Coiling was complicated by thrombus formation and parent vessel occlusion necessitating anti-platelet therapy. Several hours after anti-platelet therapy, catastrophic haemorrhage associated with the ventriculostomy tract occurred. Timing and location of haemorrhage suggest combined anti-platelet therapy and ventriculostomy may have been causal. The literature on ventriculostomy haemorrhage rates and risks with concomitant anti-platelet therapy are reviewed. Where endovascular coiling is being considered, the possibility of ventriculostomy-related haemorrhage should be considered and should influence subsequent treatment decisions.

• Authors: Hugh P Sims-Williams, Daniel Weinberg, Changez K Jadun, Howard L Brydon
• Journal: British journal of neurosurgery (Br J Neurosurg) Vol. 28 Issue 6 Pg. 782-4 (Dec 2014) ISSN: 1360-046X [Electronic] England
• PMID: 24810986 (Publication Type: Case Reports, Journal Article)

Chemical References

• Platelet Aggregation Inhibitors

Topics

• Adult
• Endovascular Procedures (adverse effects)
• Hematoma, Subdural (chemically induced, etiology)
• Humans
• Male
• Platelet Aggregation Inhibitors (adverse effects)
• Subarachnoid Hemorrhage (drug therapy, surgery)
• Ventriculostomy (adverse effects)