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Current Medical Imaging

Eiditor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Studies

Ruptured Multiple Mycotic Aneurysms Following Infective Endocarditis: Effectiveness of Catheter-based Techniques Using N-butyl Cyanoacrylate in a Hemorrhage-induced Coagulopathy

Author(s): Junya Tsurukiri*, Akira Hoshiai, Eitaro Okumura, Hiroshi Yamanaka, Hidefumi Sano and Hiroyuki Jimbo

Volume 13 , Issue 2 , 2017

Page: [217 - 220] Pages: 4

DOI: 10.2174/1573405612666160818150300

Price: $58

Abstract

Background: Visceral bleeding caused by ruptured mycotic aneurysms, especially intracerebral hematoma, is a most serious complication. In such cases, not only surgical techniques but also a variety of modalities such as catheter-based technique is required to comprehensively treat a patient with hemorrhage-induced coagulopathy.

Case Reports: We treated an infectious endocarditis (IE) patient with coagulopathy caused by ruptured multiple mycotic aneurysms who underwent endovascular embolization using n-butyl cyanoacrylate (NBCA) and successful surgical removal assisted with catheter-based hemostasis. We also reviewed published literatures about mycotic aneurysm treated using NBCA using PUBMED. Upon review of the existing literature, it was evident that there are only a very limited number of publications related to “infectious” or “mycotic aneurysm” treated using NBCA, and only three case references were retrieved.

Conclusion: Catheter-based techniques using n-butyl-2-cyanoacrylate (NBCA) which has been used as a liquid embolic agents is effective for patients with hemorrhage-induced coagulopathy caused by ruptured mycotic aneurysms before surgical treatment.

Keywords: Craniotomy, endovascular treatment, infection, splenectomy, visceral infarction, mycotic aneurysm.

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