Skip to content
DraconiticResearch
Search Sources API
203,234 studies31 sourcesUpdated 27 min ago
Peer-reviewedCC BYCase reports in anesthesiology

Hemorrhagic Vocal Fold Inflammation Following Endotracheal Intubation in a Patient Undergoing Endovascular Neurosurgery Under Dual Antiplatelet Therapy: A Case Report.

  • Masayoshi Koike1
  • Takako Terui1
  • Tomohiro Nakanishi1
  • Risa Tuboi1
  • Hiroyuki Enomoto2
  • Toshihiro Ishibashi2
  1. 1Department of Anesthesiology The Jikei University School of Medicine Tokyo Japan jikei.ac.jp.
  2. 2Division of Endovascular Neurosurgery Department of Neurosurgery The Jikei University School of Medicine Tokyo Japan jikei.ac.jp.
Read full textPDFDOICite

Abstract

Hemorrhagic vocal fold inflammation is an uncommon complication of endotracheal intubation. Its clinical course in patients receiving perioperative antithrombotic therapy remains unclear. A woman in her 60 s receiving dual antiplatelet therapy (DAPT) underwent endovascular neurosurgery with flow-diverter stent deployment and coil embolization. Endotracheal intubation was uneventful, and cuff pressure was appropriately maintained. Hoarseness developed on postoperative day 1, and laryngoscopy on day 2 revealed hemorrhagic vocal fold inflammation. Intraoperative fluoroscopic images suggested proximal migration of the endotracheal tube, with possible changes in tube and cuff position that may have contributed to minor vocal fold mucosal injury. The symptoms improved with conservative management, and complete recovery was confirmed at 1 month. Hemorrhagic vocal fold inflammation occurred following apparently uneventful endotracheal intubation in a patient receiving perioperative antithrombotic therapy. Although the underlying mechanism remains uncertain, changes in endotracheal tube and cuff position during the procedure represent one possible contributing factor.

Related

  1. Machine learning-based radiomic analysis of T2-FLAIR white matter hyperintensity predicts hemorrhagic transformation after endovascular thrombectomy for acute ischemic stroke.
    Qi Wu, Yandan Shi, Zhihao Zhang +8
    BMC medical imagingPeer-reviewedCC BY-NC-NDFull textEpidemiology & public healthEurope PMC
  2. An Alternative Approach to Adult One-Lung Ventilation Using a Standard Single-Lumen Endotracheal Tube
    Mahesh S Desilva, Dineth L Senanayake
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  3. Airway ultrasound versus capnography to confirm endotracheal intubation: protocol for a systematic review and meta-analysis
    Manjush Karthika, Chris Sara Mathew, Ashraf Alzaabi +3
    Systematic ReviewsPeer-reviewedCC BY-NC-ND 4.0Surgery & anaesthesiaCrossref
  4. Trans-cuff budesonide delivery and its effects on endotracheal intubation-induced subglottic injury
    Yi Zou, Qing Hu, Xiao Yan +6
    Frontiers in pediatricsPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  5. Efficacy and Safety of Etomidate Versus Ketamine for Endotracheal Intubation in Critically Ill Patients: A Systematic Review and Meta-Analysis
    Zeeshan Umar, Tayyamn Tahseen, Aalyan Shafi +8
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC

Cite

BibTeXRIS
BibTeX
@article{koike2026hemorrhagic,
  title = {{Hemorrhagic Vocal Fold Inflammation Following Endotracheal Intubation in a Patient Undergoing Endovascular Neurosurgery Under Dual Antiplatelet Therapy: A Case Report.}},
  author = {Masayoshi Koike and Takako Terui and Tomohiro Nakanishi and Risa Tuboi and Hiroyuki Enomoto and Toshihiro Ishibashi},
  journal = {Case reports in anesthesiology},
  year = {2026},
  month = oct,
  doi = {10.1155/cria/9524667},
  url = {https://europepmc.org/article/MED/42953243},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Hemorrhagic Vocal Fold Inflammation Following Endotracheal Intubation in a Patient Undergoing Endovascular Neurosurgery Under Dual Antiplatelet Therapy: A Case Report.
AU  - Masayoshi Koike
AU  - Takako Terui
AU  - Tomohiro Nakanishi
AU  - Risa Tuboi
AU  - Hiroyuki Enomoto
AU  - Toshihiro Ishibashi
PY  - 2026
DA  - 2026/10/28
JO  - Case reports in anesthesiology
DO  - 10.1155/cria/9524667
UR  - https://europepmc.org/article/MED/42953243
AB  - Hemorrhagic vocal fold inflammation is an uncommon complication of endotracheal intubation. Its clinical course in patients receiving perioperative antithrombotic therapy remains unclear. A woman in her 60 s receiving dual antiplatelet therapy (DAPT) underwent endovascular neurosurgery with flow-diverter stent deployment and coil embolization. Endotracheal intubation was uneventful, and cuff pressure was appropriately maintained. Hoarseness developed on postoperative day 1, and laryngoscopy on day 2 revealed hemorrhagic vocal fold inflammation. Intraoperative fluoroscopic images suggested proximal migration of the endotracheal tube, with possible changes in tube and cuff position that may have contributed to minor vocal fold mucosal injury. The symptoms improved with conservative management, and complete recovery was confirmed at 1 month. Hemorrhagic vocal fold inflammation occurred following apparently uneventful endotracheal intubation in a patient receiving perioperative antithrombotic therapy. Although the underlying mechanism remains uncertain, changes in endotracheal tube and cuff position during the procedure represent one possible contributing factor.
SN  - 2090-6382
SN  - 2090-6390
ER  -