AJDRAJNR - American Journal of Neuroradiology

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ryu, C.W.
Right arrow Articles by Kim, S.J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ryu, C.W.
Right arrow Articles by Kim, S.J.

Percutaneous Direct Puncture Glue Embolization of High-Flow Craniofacial Arteriovenous Lesions: A New Circular Ring Compression Device with a Beveled Edge

C.W. Ryua, S.M. Whangb, D.C. Suhb, S.-M. Kimb, Y.-J. Jangb, H.-J. Kimb, M.-J. Kimb, S.E. Changc, J.P. Hongb,d and S.J. Kimb

a Department of Radiology, East-West Neomedical Center, Kyunghee University College of Medicine, Seoul, Korea
b Department of Radiology and the Research Institute of Radiology, Seoul, Korea
c Departments of Dermatology, Seoul, Korea
d Departments of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea


Figure 1
View larger version (51K):
[in this window]
[in a new window]

  		Fig 1. A, Circular ring device with a beveled edge. The lower margin provides a comfortable injection window while maintaining compression through the elevated margin. Circular ring devices can be constructed by cutting a plastic cup body. B, Plan diagram of the device.


Figure 2
View larger version (161K):
[in this window]
[in a new window]

  		Fig 2. A 37-year-old man (patient 4) with a growing pulsatile mass and bruit caused by a long-standing high-flow arteriovenous fistula in the right anterior lower neck. A, Cutaneous branches of the right external carotid artery are dilated. Multiple dilated venous pouches are connected to the external jugular vein. B, During the compression around the shunt by the circular ring device, contrast medium stagnates within the device margin. C, Final angiogram obtained after glue embolization shows no further shunt. D, Surgical resection specimens were obtained by en bloc resection. Note the presence of glue in the dilated malformed vessels (arrow).





Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X