Skip to main content
SpringerLink
Log in

Rupture of an intracranial aneurysm of the carotid artery with ventricular visualization during angiography

  • Originals
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Allan, D. M., J. B. Witcombe: Intracranial extravasation of contrast medium during carotid angiography. Brit. J. Radiol. 50 (1977) 404–411.

    PubMed  Google Scholar 

  2. Beamer, Y. B., J. F. Corsino, R. G. Lynde: Rupture of an aneurysm of the internal carotid artery during arteriography with filling of the subarachnoid space and demonstration of a temporal lobe mass. Case report. J. Neurosurg. 31 (1969) 224–226.

    PubMed  Google Scholar 

  3. Bergleiter, R.: Hämodynamik der zerebralen Angiographie und Funktion der Kollateral-Gefäße des Circulus arteriosus Wilisii. Habilitationsschrift, Univ. Freiburg 1965.

  4. De Tribolet, N., R. Oberson, E. Zander: Perangiographic rupture of a right posterior communicating artery aneurysm. Neurochirurgia 19 (1976) 26–29.

    PubMed  Google Scholar 

  5. Dublin, A. B., B. N. French: Cerebral aneurysmal rupture during angiography with confirmation by computed tomography: A review of intra-angiographic aneurysmal rupture. Surg. Neurol. 13 (1980) 19–26.

    PubMed  Google Scholar 

  6. Faulhauer, K., E. Mühler: Kontrastmittelextravasat aus einem Karotisaneurysma in das Ventrikelsystem. Nervenarzt 48 (1977) 621–625.

    PubMed  Google Scholar 

  7. Ferrari, G., G. Vio: Radiological demonstration of rupture of a carotid aneurysm during cerebral angiography. Case report. J. Neurosurg. 31 (1969) 462–464.

    PubMed  Google Scholar 

  8. Fiebach, O., J. Liesegang: Blutdruckveränderungen bei der retrograden Brachialisangiographie: Modellversuche unter inter-arteriellen Messungen. Radiologe 13 (1973) 518–522.

    PubMed  Google Scholar 

  9. Freemon, F. R.: Dye entering subarachnoid space through a bleeding intracranial aneurysm. J. Amer. med. Ass. 211 (1970) 295–296.

    Google Scholar 

  10. Gerlock, A. J.: Rupture of posterior inferior cerebellar aneurysm into the subarachnoid space during angiography. Case report. J. Neurosurg. 42 (1975) 469–472.

    PubMed  Google Scholar 

  11. Goldstein, S. L.: Ventricular opacification secondary to rupture of intracranial aneurysm during angiography. Case report. J. Neurosurg. 27 (1967) 265–267.

    PubMed  Google Scholar 

  12. Handa, J., I. Aoyama, H. Handa: Extravasation from an intracranial aneurysm during angiography. Case report. Arch. Jpn. Surg. 43 (1974) 302–306.

    Google Scholar 

  13. Henry, M. P., J. Guerin, J. M. Vallat, H. Pouyanne: Extravasation per-angiografique du produit de contraste au cours des ruptures d'anèvrismes. Neurochirurgia (Stuttg.) 14 (1971) 121–126.

    Google Scholar 

  14. Hoff, J. T., D. G. Potts: Angiographic demonstrations of hemorrhage into the fourth ventricle. Case report. J. Neurosurg. 30 (1969) 732–735.

    PubMed  Google Scholar 

  15. Jackson, J. R., D. T. Tindall, B. S. Nashold Jr.: Rupture of an intracranial aneurysm during carotid angiography. J. Neurosurg. 17 (1960) 333–336.

    PubMed  Google Scholar 

  16. Jamieson, K. G.: Rupture of an intracranial aneurysm during cerebral angiography. J. Neurosurg. 11 (1954) 625–628.

    PubMed  Google Scholar 

  17. Jenkinson, E. L., O. Sugar, H. Love: Rupture of the internal carotid artery during cerebral angiography. Case report. Amer. J. Roentgenol. 71 (1954) 958–960.

    PubMed  Google Scholar 

  18. Kamiyama, K., T. Onuma, T. Sakamoto, J. Suzuki: Intraventricular extravasation of contrast media through ruptured intracranial aneurysm. Neurol. Surg. (Tokyo) 6 (1978) 1005–1013.

    Google Scholar 

  19. Karadayi, A., M. Lindquist, D. Tovi: Rupture of an intracranial aneurysm with ventricular opacification during angiography. Case report. Neurochirurgia (Stuttg.) 16 (1973) 59–62.

    Google Scholar 

  20. Koga, H., M. Kaneko, Y. Hosaka: Extravasation from aneurysms during angiography. Surg. Neurol. 12 (1979) 453–456.

    PubMed  Google Scholar 

  21. Lehrer, H. Z., L. A. Gross, T. P. Poon: Ruptured intracranial aneurysm: Contrast agent extravasation during brachial arteriography. Arch. Neurol. 27 (1972) 351–353.

    PubMed  Google Scholar 

  22. Liliequist, B., M. Lindqvist, F. Probst: Rupture of intracranial aneurysm during carotid angiography. Neuroradiology 11 (1976) 185–190.

    PubMed  Google Scholar 

  23. Lin, J. P., I. I. Kricheff, N. E. Chase: Blood pressure changes during retrograde brachial angiography. Radiology 83 (1964) 640–646.

    PubMed  Google Scholar 

  24. Liu, C. T.: Rupture of cerebral aneurysm during angiography. Calif. Med. 103 (1965) 54–55.

    PubMed  Google Scholar 

  25. Marc. J. A., M. M. Schechter, B. Azar-Kia: Intraventricular bleeding from cerebral aneurysmal rupture. Neuroradiology 5 (1973) 184–186.

    PubMed  Google Scholar 

  26. Murphy, D. J., R. J. Goldberg: Extravasation from an intracranial aneurysm during carotid angiography. Case report. J. Neurosurg. 27 (1967) 459–461.

    PubMed  Google Scholar 

  27. Nadjmi, M., H. Braun, L. Cavallini, M. Nippert: Hämodynamische und physikalische Aspekte der retrograden Brachialis-Angiographie. Dtsch. Z. Nervenheilk. 194 (1968) 328.

    Google Scholar 

  28. Ohata, M., S. Kawanuma, Y. Inaba: Rupture of intracranial aneurysm due to cerebral angiography. Neurol. Surg. (Tokyo) 3 (1975) 445–451.

    Google Scholar 

  29. Osgood, C., L. G. Martin: Intraventricular contrast extravasation during carotid angiography. Surg. Neurol. 2 (1974) 49–50.

    PubMed  Google Scholar 

  30. Palmieri, A., R. Liguori, R. DeRosa: A propos d'un cas de rupture d'anévrysme artériel sacculaire intracranien au cours d'une arteriographie. Ann. Radiol. 14 (1971) 943–946.

    PubMed  Google Scholar 

  31. Perret, G., H. Nishioka: Report on the cooperative study of intracranial aneurysm and subarachnoid hemorrhage. Section IV. Cerebral angiography: An analysis of the diagnostic value and complications of carotid and vertebral angiography in 5,484 patients. J. Neurosurg. 25 (1966) 98–114.

    PubMed  Google Scholar 

  32. Sahs, A. L., G. E. Perret, G. B. Locksley, H. Nishioka: ‘Intracranial Aneurysms and Subarachnoid Hemorrhage: A Cooperative Study.’ J. B. Lippincott, Philadelphia 1969, pp. 219–368.

    Google Scholar 

  33. Sakamoto, T., T. Yosimoto, J. Suzuki: Extravasation from an intracranial aneurysm during carotid angiography. Brain-Nerve (Tokyo) 24 (1972) 603–606.

    Google Scholar 

  34. Someda, K., N. Yasui, Y. Moriwaki, Y. Kawamura, H. Matsumura: Extravasation of contrast material into subdural space from internal carotid aneurysm. J. Neurosurg. 42 (1975) 473–477.

    PubMed  Google Scholar 

  35. Teal, J. S., P. J. Wade, R. T. Bergeron, C. L. Rumbaugh, H. D. Segall: Ventricular opacification during carotid angiography secondary to rupture of intracranial aneurysm. Case report. Radiology 106 (1973) 581–583.

    PubMed  Google Scholar 

  36. Triska, V. H.: Ein Fall von Kontrastmittelextravasat bei einem rupturierten Aneurysma der Arteria cerebri media. Zbl. Neurochir. 22 (1962) 291–295.

    Google Scholar 

  37. Vines, F. S., D. O. Davis: Rupture of intracranial aneurysm at angiography: Case report and comment on causative factors. Radiology 99 (1971) 353–354.

    PubMed  Google Scholar 

  38. Waga, S., A. Kondo, K. Moritake, H. Handa: Rupture of intracranial aneurysm during angiography. Neuroradiology 5 (1973) 169–173.

    PubMed  Google Scholar 

  39. Wilkins, R. H.: Aneurysm rupture during angiography: Does acute vasospasm occur? Surg. Neurol. 5 (1976) 299–303.

    PubMed  Google Scholar 

  40. Wolpert S. M., S. C. Schatzki: Extravasation of contrast material in the intracranial basal ganglia. Radiology 102 (1972) 83–85.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Surgical Hospital, University of Tübingen, Germany

    S. Todorow & P. Oldenkott

  2. Neurochirurgische Abteilung, Chirurgische Universitätsklinik, Calwer Str. 7, D-7400, Tübingen, Germany

    S. Todorow

  3. Abteilung für Neurochirurgie, Militär-Hospital, Postfach 1220, D-7900, Ulm, Germany

    P. Oldenkott

Authors
  1. S. Todorow
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Oldenkott
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01837752

Key words

Schlüsselwörter

Search

Navigation