NDLI: Direct intralesional n-butyl-cyanoacrylate embolization for intractable vertebral hemangioma bleeding: a salvage technique. Illustrative case.

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Direct intralesional n-butyl-cyanoacrylate embolization for intractable vertebral hemangioma bleeding: a salvage technique. Illustrative case.

Content Provider	Europe PMC
Author	Kenworthy, Matthew K. Bakmeedeniya, Roshitha Narula, Soni Wong, George
Copyright Year	2022
Abstract	BACKGROUNDSurgical resection of vertebral hemangiomas in the setting of cord compression can be technically difficult and has the potential for life-threatening hemorrhage. The authors report a case of intraoperative direct intralesional n-butyl-cyanoacrylate embolization for intractable vertebral hemangioma bleeding.OBSERVATIONSA 53-year-old woman presented for repeat surgery of a residual vertebral hemangioma after a previous debulking, laminectomy, and fixation that were without problems with bleeding. The second surgery was complicated by intractable hemorrhage. Bleeding was controlled with direct intralesional n-butyl-cyanoacrylate embolization after fluoroscopy without accompanying endovascular embolization.LESSONSAggressive vertebral hemangiomas should ideally be managed in centers where transarterial embolization is available. If such centers are not available or there is still intractable intraoperative bleeding despite preoperative embolization, direct intralesional embolization may be considered as a potential salvage technique.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9678796&blobtype=pdf
Page Count	4
Journal	Journal of Neurosurgery: Case Lessons [J Neurosurg Case Lessons]
Volume Number	4
PubMed Central reference number	PMC9678796
Issue Number	21
PubMed reference number	36411548
e-ISSN	26941902
DOI	10.3171/case22390
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2022-11-21
Access Restriction	Open
Rights License	CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/). © 2022 The authors
Subject Keyword	vertebral hemangioma direct embolization bleeding hemorrhage n-butyl-cyanoacrylate NBCA Histoacryl MRI = magnetic resonance imaging NBCA = n-butyl-cyanoacrylate
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

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