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KMID : 1103720150720040300
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Journal of the Korean Society of Radiology
2015 Volume.72 No. 4 p.300 ~ p.303
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Glue Embolization of the Giant Aneurysm by Reducing Thrombosis-Induced Volume Expansion Effect
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Yeom Yoo-Kyung
Suh Dae-Chul
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Abstract
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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.
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KEYWORD
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Giant Aneurysm, Cerebral Aneurysm, Glue Embolization
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