Article Text

PDF
CASE REPORT
Treatment of hemorrhagic head and neck lesions by direct puncture and nBCA embolization
  1. Gerard Deib1,
  2. Amgad El Mekabaty2,
  3. Philippe Gailloud1,
  4. Monica Smith Pearl2,3
  1. 1Division of Interventional Neuroradiology, Johns Hopkins Hospital and Health System, Baltimore, Maryland, USA
  2. 2Department of Radiology, Johns Hopkins Hospital, Baltimore, Maryland, USA
  3. 3Department of Radiology, Children’s National Medical Center, District of Columbia, USA
  1. Correspondence to Dr. Monica Smith Pearl, msmit135{at}jhmi.edu

Summary

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.

  • intervention
  • liquid embolic material
  • neck
  • technique

Statistics from Altmetric.com

Footnotes

  • Contributors All authors have fulfilled criteria for authorship.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.