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Intra-procedural aneurysm rupture treated with n-butyl cyanoacrylate embolization: technical note
A Patsalides1, M Smith, Y P Gobin
1Division of Interventional Neuroradiology, Department of Neurosurgery, New York Presbyterian Hospital/Weill Cornell Medical College, New York, New York, USA. atp9002@med.cornell.edu
Journal of Neurointerventional Surgery
|October 13, 2011
Summary
Liquid polymer and stent placement effectively seals procedural ruptures of intracranial aneurysms during coil embolization, offering a viable solution when further coil placement is not feasible.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Biomaterials Science
Background:
- Intracranial aneurysms pose significant risks, with procedural ruptures during endovascular treatment presenting a critical management challenge.
- Coil embolization is a common treatment, but complications like vessel rupture require immediate and effective intervention.
Observation:
- A case study details the successful use of liquid polymer and stent placement to manage an intraprocedural rupture of an intracranial aneurysm.
- The rupture occurred during a standard coil embolization procedure, necessitating an alternative treatment approach.
Findings:
- The combined technique of liquid polymer injection and stent deployment provided immediate sealing of the ruptured aneurysm sac.
- This method proved effective even when further coil embolization was anatomically impossible or technically challenging.
Implications:
- Liquid polymer and stent placement represents a potentially valuable, albeit technically demanding, adjunct therapy for managing complex endovascular complications.
- This approach expands treatment options for intraprocedural aneurysm ruptures, potentially improving patient outcomes in challenging scenarios.
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