PT  - JOURNAL ARTICLE
AU  - Duncan, Ian C.
AU  - Fourie, Pieter A.
TI  - Circumferential Flow Reduction during Percutaneous Embolotherapy of Extracranial Vascular Malformations: The “Cookie-Cutter” Technique
DP  - 2003 Aug 01
TA  - American Journal of Neuroradiology
PG  - 1453--1455
VI  - 24
IP  - 7
4099  - http://www.ajnr.org/content/24/7/1453.short
4100  - http://www.ajnr.org/content/24/7/1453.full
SO  - Am. J. Neuroradiol.2003 Aug 01; 24
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.