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.
- liquid embolic material
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Republished with permission from BMJ Case Reports Published 24 October 2017; doi: 10.1136/bcr-2017-013335
Contributors All authors have fulfilled criteria for authorship.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.