Endovascular Management of Infective Intracranial Aneurysms with Acrylic Glue

Abstract

<jats:p> Cerebral mycotic aneurysms (MAs) also called infective aneurysms, are uncommon and are usually encountered in patients with infective endocarditis. These aneurysms often present with intracranial hemorrhage. MAs may resolve on treatment with antibiotics alone. However prognosis with medical management alone is unpredictable. Good prognosis with surgery has been reported for single accessible ruptured MAs. However surgery is associated with significant morbidity. Endovascular treatment of MAs along with appropriate antibiotics is emerging as an acceptable option for these patients. </jats:p><jats:p> We describe two cases of infective endocarditis complicated by ruptured MA treated successfully by liquid embolic glue material. </jats:p>

Balloon occlusion technique with ethylene vinyl alcohol for the treatment of a pediatric pulmonary artery mycotic aneurysm

“…Liquid embolics have the benefit of being able to be delivered in a controlled fashion with little manipulation of the aneurysmal sac when compared with occlusion with coils or vascular plugs. Glue embolics (n-BCA, TRUFILL; Codman Neuro, DePuy Synthes; West Chester, PA) have been described for the treatment of cerebral mycotic aneurysms and pseudoaneurysms [3] , [4] . Onyx embolization of infectious intracranial aneurysms has also previously been reported to be safe and effective with a low risk of superinfection and complications including reperfusion [5] .…”