Glue Embolization of the Giant Aneurysm by Reducing Thrombosis-Induced Volume Expansion Effect

• Main Authors: Yoo Kyung Yeom, Dae Chul Suh
• Format: Article
• Language: English
• Published: The Korean Society of Radiology 2015-04-01
• Series: 대한영상의학회지
• Subjects: giant aneurysm; cerebral aneurysm; glue embolization
• Online Access: https://doi.org/10.3348/jksr.2015.72.4.300

A giant aneurysm due to a large intra-aneurysmal volume can be complicated by a delayed massive volume expansion caused by thrombus formation. To prevent such a severe mass effect, we obliterated the aneurysmal lumen by gluing and prevented further development of thrombosis. A 52-year-old female with a giant aneurysm at the cavernous segment of the internal carotid artery presented with tinnitus and intermittent diplopia. After confirming with a negative occlusion test, the right internal carotid artery was trapped by coiling and with further obliteration of the aneurysmal lumen by gluing. She developed a mild diplopia after the procedure and recovered without any deficit. The magnetic resonance angiography showed a stable occlusion of the aneurysm and good collateral filling of the cerebral vessel 15 months later.