RT Journal Article SR Electronic T1 Circumferential Flow Reduction during Percutaneous Embolotherapy of Extracranial Vascular Malformations: The “Cookie-Cutter” Technique JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1453 OP 1455 VO 24 IS 7 A1 Ian C. Duncan A1 Pieter A. Fourie YR 2003 UL http://www.ajnr.org/content/24/7/1453.abstract AB Summary: We describe a simple, inexpensive, and very effective method of achieving circumferential flow reduction during direct percutaneous cyanoacrylate embolization of a high-flow vascular malformation of the scalp. By using a plastic “cookie cutter” placed over the lesion and applying various degrees of pressure, both venous outflow from and arterial inflow into the lesion were limited. This flow reduction technique improved both the efficacy and safety of the procedure.