Successful management with glue injection of arterial rupture seen during embolization of an arteriovenous malformation using a flow-directed catheter: a case report.
We present a case in which an arterial rupture occurring during embolization of an arteriovenous malformation of the left occipital lobe with a flow-directed microcatheter, was successfully sealed with a small amount of glue. We navigated a 1.8-Fr Magic catheter through the posterior cerebral artery, and during superselective test injection, extravasation was observed at the parieto-occipital branch. The catheter was not removed and the perforation site was successfully sealed with a small amount of glue injected through the same catheter. Prompt recognition and closure of the perforation site is essential for good prognosis.
Hong
J W
JW
Department of Diagnostic Radiology, Wallace Memorial Baptist Hospital, Pusan, Korea. cinemani@nownuri.net
Baik
S K
SK
Shin
M J
MJ
Choi
H Y
HY
Kim
B G
BG
D000328:Adult; D002536:Cerebral Arteries / Q000293:injuries*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D004659:Enbucrilate; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000628:therapy*; D007459:Iodized Oil; D008297:Male; D012421:Rupture
D007459:Iodized Oil; D004659:Enbucrilate