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Percutaneous puncture and pre-operative cyanoacrylate obliteration of a traumatic false aneurysm of an angular artery branch

Departments of ¹ Plastic Surgery and ² Radiology, Chang Gung University, Chang Gung Memorial Hospital, 123, Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien 833, Taiwan

View larger version (207K): [in a new window]   Figure 1. (a) Enhanced CT shows a 2.5 cm hypodense mass (white arrow) with an eccentric, enhanced spot (arrowhead) in the subcutaneous tissue over the right glabella. (b) Anteroposterior and (c) lateral radiographs of intralesional contrast agent injection after aspiration of the bloody content show a false aneurysmal sac (long arrows) and retrograde opacification of the contralateral angular artery (short arrows). (d) Follow-up radiograph immediately after application of NBCA/Lipiodal mixture reveals satisfactory casting of the false aneurysmal sac (arrow). (e) Follow-up CT reveals moderate regression of the false aneurysm (arrow) which is almost fully occupied by the emboliser.