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A case of pseudoaneurysm of the deep femoral artery successfully treated by NBCA embolization under occlusion

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Abstract

Transcatheter embolization of bleeding from distal branches of small arteries can be difficult. N-butyl cyanoacrylate (NBCA) was originally used as a tissue adhesive material, and recent evidence suggests that it can also be used as an embolic material. This report describes a case in which a pseudoaneurysm arising from the distal portion of a small branch of the deep femoral artery was successfully embolized with NBCA using a new technique with a microballoon catheter. Advantages of this technique include its safely, short treatment time, good control of the embolization range, absence of fragmentation, favorable polymerization dynamics, and absence of glue reflux or excessive distal spread of the glue.

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References

  1. Yonemitsu T, Kawai N, Sato M, Tanihata H, Takasaka I, Nakai M, et al. Evaluation of transcatheter arterial embolization with gelatin sponge particles, microcoils, and n-butyl cyanoacrylate for acute arterial bleeding in a coagulopathic condition. J Vasc Interv Radiol. 2009;20(9):1176–87 (Epub 2009/08/01).

    Article  PubMed  Google Scholar 

  2. Yonemitsu T, Kawai N, Sato M, Sonomura T, Takasaka I, Nakai M, et al. Comparison of hemostatic durability between N-butyl cyanoacrylate and gelatin sponge particles in transcatheter arterial embolization for acute arterial hemorrhage in a coagulopathic condition in a swine model. Cardiovasc Interv Radiol. 2010;33(6):1192–7 (Epub 2010/05/01).

    Article  Google Scholar 

  3. Yoo DH, Jae HJ, Kim HC, Chung JW, Park JH. Transcatheter arterial embolization of intramuscular active hemorrhage with N-butyl cyanoacrylate. Cardiovasc Intervent Radiol. 2012;35(2):292–8 (Epub 2011/05/05).

    Article  PubMed  Google Scholar 

  4. Nelson PK, Russell SM, Woo HH, Alastra AJ, Vidovich DV. Use of a wedged microcatheter for curative transarterial embolization of complex intracranial dural arteriovenous fistulas: indications, endovascular technique, and outcome in 21 patients. J Neurosurg. 2003;98(3):498–506 (Epub 2003/03/26).

    Article  PubMed  Google Scholar 

  5. Li MH, Tan HQ, Fang C, Zhu YQ, Wang W, Wang J, et al. Trans-arterial embolisation therapy of dural carotid-cavernous fistulae using low concentration n-butyl-cyanoacrylate. Acta Neurochir (Wien). 2008;150(11):1149–56 (discussion 56).

    Article  PubMed  Google Scholar 

  6. Razavi MK, Murphy K. Embolization of bronchial arteries with N-butyl cyanoacrylate for management of massive hemoptysis: a technical review. Tech Vasc Interv Radiol. 2007;10(4):276–82 (Epub 2008/06/24).

    Article  PubMed  Google Scholar 

  7. Mavili E, Donmez H, Ozcan N, Akcali Y. Endovascular treatment of lower limb penetrating arterial traumas. Cardiovasc Interv Radiol. 2007;30(6):1124–9 (Epub 2007/08/09.

    Article  Google Scholar 

  8. Thomas A, Tomsick M. FACR, Investigators Tn-BT. N-butyl cyanoacrylate embolization of cerebral arteriovenous malformations: results of a prospective, randomized, multi-center trial. AJNR Am J Neuroradiol. 2002;23(5):748–55 (Epub 2002/05/15).

    Google Scholar 

  9. Iizuka Y, Maehara T, Hishii M, Miyajima M, Arai H. Successful transarterial glue embolisation by wedged technique for a tentorial dural arteriovenous fistula presenting with a conjunctival injection. Neuroradiology. 2001;43(8):677–9 (Epub 2001/09/08).

    Article  PubMed  CAS  Google Scholar 

  10. Debrun GM, Aletich V, Ausman JI, Charbel F, Dujovny M. Embolization of the nidus of brain arteriovenous malformations with n-butyl cyanoacrylate. Neurosurgery. 1997;40(1):112–20 (discussion 20-1).

    PubMed  CAS  Google Scholar 

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Acknowledgments

We would like to express many thanks to Kenji Takizawa, who first suggested this procedure and promoted it.

Conflict of interest

The authors have no conflicts of interest that could influence this report.

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Authors and Affiliations

  1. Department of Radiology, St. Marianna University School of Medicine, Sugao 2-16-1, Miyamae-ku, Kawasaki, 216-8511, Japan

    Shingo Hamaguchi, Yukihisa Ogawa, Yasunori Arai, Kazuki Hashimoto & Yasuo Nakajima

  2. Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine, Sugao 2-16-1, Miyamae-ku, Kawasaki, 216-8511, Japan

    Shingo Hamaguchi

Authors
  1. Shingo Hamaguchi
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  2. Yukihisa Ogawa
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  3. Yasunori Arai
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  4. Kazuki Hashimoto
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  5. Yasuo Nakajima
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Corresponding author

Correspondence to Shingo Hamaguchi.

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Hamaguchi, S., Ogawa, Y., Arai, Y. et al. A case of pseudoaneurysm of the deep femoral artery successfully treated by NBCA embolization under occlusion . Jpn J Radiol 31, 538–541 (2013). https://doi.org/10.1007/s11604-013-0207-7

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  • DOI: https://doi.org/10.1007/s11604-013-0207-7

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