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Intratumoral Injection of Cyanoacrylate Glue in Head and Neck Paragangliomas

Daniel Giansante Abuda, Charbel Mounayera, Goetz Benndorfa, Michel Piotina, Laurent Spellea and Jacques Moreta

a From the Department of Interventional Neuroradiology, Foundation Rothschild, Paris, France



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  		FIG 1. Vagal glomus tumor.

A, Left common carotid arteriogram, lateral view, shows the highly vascularized tumor displacing the ICA posteriorly (arrow).

B, Nonsubtracted view shows the glue cast after embolization.

C, Control arteriogram demonstrates complete devascularization of the vascular tumor bed at the end of the procedure.

D, Macroscopic specimen of the tumor after en bloc removal.



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  		FIG 2. Carotid-body glomus tumor.

A, Left common carotid arteriogram, lateral view, shows significant pathologic vascularization and associated mass effect of the tumor enlarging the carotid bifurcation.

B, Cast after glue injection.

C, Postembolization arteriogram demonstrates complete devascularization at the end of the procedure.



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  		FIG 3. Jugular glomus tumor.

A, Left vertebral arteriogram, anteroposterior view, shows tumor blush in the left posterior fossa. The tumor is supplied by the feeders of the left posterior inferior cerebellar artery.

B, Left external carotid arteriogram, lateral view, shows tumor vascularization from the posterior branch of the AsphA (short arrow) and the posterior auricular artery (long arrow).

C, Glue cast after several punctures (arrows) and glue injections.

D and E, Final control angiogram of the vertebrobasilar system and the left common carotid artery demonstrates complete devascularization of the tumor bed previously supplied by posterior inferior cerebellar artery feeders and subtotal devascularization of the ECA territory.





Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X