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

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.

Preliminary findings of arterial embolization with balloon-occluded and flow-dependent histoacryl glue embolization in a swine model

“…This manipulation is intended to avoid undesired glue migration on blood flow resumption after balloon deflation. We previously reported in a separate study a case of pseudoaneurysm treated by NBCA embolization under occlusion in which the balloon was deflated 60 s after injection [17]. In comparison, the present study employed a 120-s waiting time to ensure solid glue cast formation.…”

Successful Embolization Therapy through Reentry Tear in the Right Subclavian Artery for Treating Patent False Lumen in the Aortic Arch Formed after Type A Dissection Repair

“…However, NBCA has disadvantages of proximal embolization, distal migration, reflux, etc. B-glue technique proposed by Hamaguchi et al 10 ) has been used for flow control in TAE. This technique is extremely useful for preventing cerebral embolization and infarctions caused by NBCA, as observed in this case.…”

Ruptured Profunda Femoris Artery Aneurysm Successfully Treated Using Coil Embolization and Surgical Ligation: A Case Report

“…In our case, spongel fragments were used to eliminate the residual flow while the embolic effect was transient. NBCA-Lipiodol is another embolic agent, which has the advantage of a good long-term occlusion rate [7]. Application of NBCA-Lipiodol may be another suitable option in this condition.…”