%0 Journal Article %A Gerard Deib %A Amgad El Mekabaty %A Philippe Gailloud %A Monica Smith Pearl %T Republished: Treatment of hemorrhagic head and neck lesions by direct puncture and n-BCA embolization %D 2018 %R 10.1136/neurintsurg-2017-013335.rep %J Journal of NeuroInterventional Surgery %P e25-e25 %V 10 %N 10 %X 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. %U https://jnis.bmj.com/content/neurintsurg/10/10/e25.full.pdf