Successful Management with Glue Injection of Arterial Rupture Seen during Embolization of an Arteriovenous Malformation Using a Flow-Directed Catheter: A Case Report

  • Jong Won Hong (Department of Diagnostic Radiology, Wallace Memorial Baptist Hospital Pusan) ;
  • Seung Kug Baik (Department of Diagnostic Radiology, Wallace Memorial Baptist Hospital Pusan) ;
  • Mi Jung Shin (Department of Diagnostic Radiology, Wallace Memorial Baptist Hospital Pusan) ;
  • Han Yong Choi (Department of Diagnostic Radiology, Wallace Memorial Baptist Hospital Pusan) ;
  • Bong Gi Kim (Department of Diagnostic Radiology, Wallace Memorial Baptist Hospital Pusan)
  • Received : 2000.05.03
  • Accepted : 2000.08.29
  • Published : 2000.12.31

Abstract

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.

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References

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