Kerr et al., present a rare case of intracerebral hemorrhage secondary to consumptive coagulopathy in relation to ongoing endoleak after thoracic endovascular aneurysm repair (TEVAR). A 68-year-old man underwent elective TEVAR for an 18 cm diameter Crawford type II thoracoabdominal aneurysm. He was subsequently shown to have a type 1b endoleak and a short episode of disseminated intravascularcoagulation (DIC) perioperatively. Two months after the procedure, he experienced a consumptive coagulopathy leading to intracerebral haemorrhage and ultimately his death. Endoleak-related DIC is an underappreciated phenomenon within the medical literature. Currently, management is reliant on general DIC principles and anecdotal experiences of others within the case report literature 1).

Kerr N, Kerr J, Faed JM, Krysa J. Spontaneous intracerebral haemorrhage: a rare complication of aortic aneurysm endoleak. BMJ Case Rep. 2018 Jun 23;2018. pii: bcr-2018-225249. doi: 10.1136/bcr-2018-225249. PubMed PMID: 29936448.
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