Key result
Cerebral aneurysm coil embolization successfully treats subarachnoid hemorrhage in early pregnancy, enabling safe fetal delivery.
Why the study?
Management strategies for subarachnoid hemorrhage due to ruptured aneurysm in early pregnancy require prioritization of maternal treatment and evaluation of endovascular surgery as an option.
Does cerebral aneurysm coil embolization improve maternal and fetal outcomes in a patient with subarachnoid hemorrhage during early pregnancy?
Case Report (n=1)
Does cerebral aneurysm coil embolization improve maternal and fetal outcomes in a patient with subarachnoid hemorrhage during early pregnancy?
Endovascular coil embolization is a viable and safe treatment option for ruptured intracranial aneurysms during early pregnancy, allowing for maternal prioritization and successful subsequent delivery.
Supports coil embolization feasibility in early-pregnancy SAH; leaves open prospective validation of maternal-fetal outcomes.
Object: We report a case of endovascular surgery for subarachnoid hemorrhage (SAH) that developed in early pregnancy. Case Presentations: An 8-week pregnant 35-year-old female was admitted to our hospital with severe headache and loss of consciousness. Cephalic computed tomography (CT) revealed SAH (Hunt and Hess grade II). Digital subtraction angiography (DSA) demonstrated a 2.7 mm aneurysm at the right internal carotid artery-posterior communicating artery (IC-PC) bifurcation. We prioritized maternal treatment. Cerebral aneurysm coil embolization was performed on the 1st day under general anesthesia. During the operation, we tried to avoid irradiating the fetus by limiting the irradiation range and time. She was discharged on the 36th day of illness and gave birth to a 2532-g baby at 36 weeks of gestation. Conclusion: If SAH develops in early pregnancy, it is necessary to prioritize maternal treatment. Endovascular surgery should be considered as a treatment option.
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Ueda et al. (2019) conducted a case report in Subarachnoid hemorrhage (SAH) in early pregnancy (n=1). Cerebral aneurysm coil embolization was evaluated. Cerebral aneurysm coil embolization was successfully performed in an 8-week pregnant woman with subarachnoid hemorrhage, resulting in maternal recovery and delivery of a baby at 36 weeks.
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