2023 年 38 巻 1 号 p. 8-15
Endovascular therapy has been accepted as a less invasive and effective treatment for cerebrospinal and head and neck lesions, as well as other areas. Transcatheter embolization using n-butyl-2-cyanoacrylate (NBCA) can be used to treat various vascular lesions, including vascular malformations, hypervascular tumors, and arterial injuries. However, in this cerebrospinal and head and neck region, endovascular treatment has a risk of fatal outcomes due to ischemic or hemorrhagic complications affecting the cerebrospinal vasculature and cranial/spinal nerves. To obtain good results and avoid complications, knowledge of functional vascular anatomy, as well as of treatment techniques, is mandatory. This review summarizes the tips and tricks of endovascular treatment using NBCA for cerebrospinal vascular lesions and head and neck lesions.