N-butyl-2 cyanoacrylate (NBCA) is a liquid embolic material that is widely used in various endovascular procedures because of its permanent and rapid vascular occluding effect regardless of the coagulation profile of the patient. However, NBCA migration to unintended vessels may result in serious complications. This report describes the retrieval of a migrated NBCA cast from the transverse-sigmoid sinus during dural arteriovenous fistula embolization using a transvenous snaring technique.
RosenRJContractorS. The use of cyanoacrylate adhesives in the management of congenital vascular malformations. Semin Intervent Radiol2004; 21: 59–66.
2.
NiimiYBerensteinASettonA. Complications and their management during NBCA embolization of craniospinal lesions. Interv Neuroradiol2003; 9(Suppl 1): 157–164.
3.
KawaguchiSSakakiTMorimotoTet al.Surgery for dural arteriovenous fistula in superior sagittal sinus and transverse sigmoid sinus. J Clin Neurosci2000; 7(Suppl 1): 47–49.
4.
TirakotaiWBertalanffyHLiu-GuanBet al.Immunohistochemical study in dural arteriovenous fistulas and possible role of local hypoxia for the de novo formation of dural arteriovenous fistulas. Clin Neurol Neurosurg2005; 107: 455–460.
5.
HartmannAPile-SpellmanJStapfCet al.Risk of endovascular treatment of brain arteriovenous malformations. Stroke2002; 33: 1816–1820.
6.
FahedRClarençonFSourourNAet al.Rescue N-butyl-2 cyanoacrylate embolectomy using a Solitaire FR device after venous glue migration during arteriovenous malformation embolization: Technical note. J Neurosurg2015; 125: 173–176.
7.
LvXJiangCLiYet al.Results and complications of transarterial embolization of intracranial dural arteriovenous fistulas using Onyx-18. J Neurosurg2008; 109: 1083–1090.
8.
WangHLvXJiangCet al.Onyx migration in the endovascular management of intracranial dural arteriovenous fistulas. Interv Neuroradiol2009; 15: 301–308.
