N-Butyl-2-cyanoacrylate use in intraoperative ruptured aneurysms as a salvage rescue: case report

Neurosurgery. 2010 Jul;67(1):216-7; discussion 217. doi: 10.1227/01.NEU.0000370014.67631.FF.


Objective and importance: The use of N-butyl-2-cyanoacrylate (n-BCA) acrylic glue as a salvage rescue in procedural ruptured aneurysm should be part of the neurointerventionalist's armamentarium.

Clinical presentation: Two patients, age 44 and 60 years, presented with Hunt and Hess grade 3 subarachnoid hemorrhage from aneurysmal rupture.

Intervention: We report 2 cases in which n-BCA was used effectively as a salvage rescue in aneurysms that ruptured during coil embolization.

Conclusion: These 2 cases demonstrate a feasible technique for the salvage of iatrogenic aneurysm perforation during coil embolization, which, to our knowledge, has not been previously reported.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Embolization, Therapeutic / adverse effects*
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods*
  • Enbucrilate / therapeutic use*
  • Female
  • Humans
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / pathology
  • Intracranial Aneurysm / therapy*
  • Middle Aged
  • Prosthesis Implantation / adverse effects*
  • Prosthesis Implantation / instrumentation
  • Radiography
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Subarachnoid Hemorrhage / pathology
  • Subarachnoid Hemorrhage / therapy*


  • Enbucrilate