Treatment of hemorrhagic head and neck lesions by direct puncture and n-BCA embolization.

Treatment of hemorrhagic head and neck lesions by direct puncture and n-BCA embolization.

J Neurointerv Surg. 2018 Apr 07;:

Authors: Deib G, El Mekabaty A, Gailloud P, Pearl MS

Abstract
Life-threatening bleeding in the head and neck region requires urgent management. These hemorrhagic lesions, for example, a ruptured pseudoaneurysm, are often treated by transarterial embolization (TAE), but prior intervention or surgery, inflammation, anatomic variants, and vessel tortuosity may render an endovascular approach challenging, time-consuming, and sometimes impossible. We report two cases of severe head and neck hemorrhages successfully embolized with n-butyl cyanoacrylate via direct puncture, and propose this approach as a fast, safe, and effective alternative to TAE.

PMID: 29627788 [PubMed - as supplied by publisher]

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