Management of unresolved hemangiomas and venous malformations by N-butyl cyanoacrylate

• Published in: Indian journal of plastic surgery Vol. 40; no. 1; pp. 8 - 11
• Main Authors: Roy, Ashim Kumar, Majumdar, Bijay Kumar, Majumdar, Saswati
• Format: Journal Article
• Language: English
• Published: A-12, Second Floor, Sector -2, NOIDA -201301, India Medknow Publications on behalf of Indian Journal of Plastic Surgery 01-01-2007; Thieme Medical and Scientific Publishers Private Ltd; Medknow Publications and Media Pvt. Ltd; Thieme Medical Publishers Inc; Thieme Medical Publishers, Inc
• Subjects: Blood circulation disorders; Cyanoacrylates; Dosage and administration; Drug therapy; Hemangioma; N-butyl cyanoacrylate; N-butyl cyanoacrylate, venous malformation, unresolved hemangiomas; Original Article; Patient outcomes; unresolved hemangiomas; venous malformation; India; venous malformation; unresolved hemangiomas; N-butyl cyanoacrylate
• ISSN: 0970-0358; 1998-376X
• DOI: 10.1055/s-0039-1699173

Management of unresolved hemangiomas and venous malformations is a real
challenging problem because of their grotesque nature and aesthetic
considerations. In our study we have used percutaneous injection of
N-butyl cyanoacrylate (NBCA) in such lesions to make these lesions
amenable to easy excision. When the NBCA comes in contact with tissue
fluid, it causes intercompartmental tissue adhesion, thus there is
cessation of blood flow into the vascular malformation tissue. After
few injections the whole mass forms a solid polymer, which is then
excised. During excision there is remarkably minimum bleeding. In small
lesions, per-operative injection just prior to surgery was also done.