Korean J Anesthesiol.  2007 Dec;53(6):810-814. 10.4097/kjae.2007.53.6.810.

Pulmonary Edema Caused by Massive Intraarterial Infusion and Flushing of Heparinized Saline during the Endovascular Embolization in a Patient with a Cerebral Aneurysm: A case report

• Yoon JR
• Kim TK
• Lee MG
• Oh YJ

• KMID: 1937355
• DOI: http://doi.org/10.4097/kjae.2007.53.6.810

Abstract

Here we report, along with a review of the literature, our experience with a patient suffering from a cerebral aneurysm and developed volume overloading pulmonary edema during endovascular coiling. A 51-year-old female patient who had an aneurysm in the basilar artery tip and subarachnoid hemorrhage was scheduled for endovascular embolization under general anesthesia. She developed pulmonary edema during the procedure. Coiling failed so neurosurgeon performed aneurysmal clipping under general anesthesia. The massive intraarterial infusion and flushing with heparinized saline may have triggered the pulmonary edema. We monitored diuresis and hemodynamics following surgery, as a high degree of vigilance, including monitoring of arterial blood gas and electrolyte evaluation, of patients undergoing prolonged endovascular embolization and receiving many intra-arterial fluids may help recovery.

Keyword

cerebral aneurysm; coiling; pulmonary edema

MeSH Terms

Anesthesia, General
Aneurysm
Basilar Artery
Diuresis
Female
Flushing*
Hemodynamics
Heparin*
Humans
Infusions, Intra-Arterial*
Intracranial Aneurysm*
Middle Aged
Pulmonary Edema*
Subarachnoid Hemorrhage
Heparin