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OtherNeurointervention

Circumferential Flow Reduction during Percutaneous Embolotherapy of Extracranial Vascular Malformations: The “Cookie-Cutter” Technique

Ian C. Duncan and Pieter A. Fourie
American Journal of Neuroradiology August 2003, 24 (7) 1453-1455;
Ian C. Duncan
aFrom the Unitas Interventional Unit, Centurion, South Africa
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Pieter A. Fourie
aFrom the Unitas Interventional Unit, Centurion, South Africa
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    Fig 1.

    Composite arterial and venous phase arteriographic images of selective external carotid digital subtraction arteriograms, showing the extensive superficial temporal arterial supply, the site of the shunt, and the venous drainage.

    A, Right external carotid artery, lateral projection.

    B, Left external carotid artery, Towne’s projection.

  • Fig 2.
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    Fig 2.

    Venous return phase image, selective left external carotid arteriogram, showing transorbital venous drainage.

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    Fig 3.

    Photograph showing the oval plastic cookie cutter held manually in place over the scalp malformation. This was fixed to the skull by means of three elastic bands during glue injections.

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    Fig 4.

    Lateral nonsubtracted digital skull radiograph showing the opaque glue cast contained within the area demarcated by the cookie cutter (arrow). Some initial escape of glue under the edge of the cookie cutter is seen, because of slipping of one of the retaining elastic bands during the glue injection. No further inadvertent glue loss was seen.

  • Fig 5.
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    Fig 5.

    Composite arterial and venous phase arteriographic images following completion of the embolization, showing very little residual shunt surgery related to the otherwise extensively embolized scalp malformation.

    A, Right external carotid artery, lateral projection

    B, Left external carotid artery, Towne’s projection.

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American Journal of Neuroradiology: 24 (7)
American Journal of Neuroradiology
Vol. 24, Issue 7
1 Aug 2003
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Ian C. Duncan, Pieter A. Fourie
Circumferential Flow Reduction during Percutaneous Embolotherapy of Extracranial Vascular Malformations: The “Cookie-Cutter” Technique
American Journal of Neuroradiology Aug 2003, 24 (7) 1453-1455;

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Circumferential Flow Reduction during Percutaneous Embolotherapy of Extracranial Vascular Malformations: The “Cookie-Cutter” Technique
Ian C. Duncan, Pieter A. Fourie
American Journal of Neuroradiology Aug 2003, 24 (7) 1453-1455;
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