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

[ Vol. 13 , Issue. 2 ]

Author(s):

Junya Tsurukiri, Akira Hoshiai, Eitaro Okumura, Hiroshi Yamanaka, Hidefumi Sano and Hiroyuki Jimbo   Pages 217 - 220 ( 4 )

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.

Affiliation:

Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998, Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Neurosurgery, Tokyo Medical University Hachioji Medical Center, Tokyo

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