Abstract
Nonoperative management is becoming more common for hemodynamically stable patients
with hemorrhagic traumatic injuries. N-butyl 2-cyanoacrylate (NBCA) glue is a safe
and effective embolic agent in cases of solid organ traumatic injury, hemorrhage associated
with pelvic fractures, as well as deep and superficial trauma. Although glue can be
effectively used off-label in these cases (either alone or in combination with other
embolization methods, such as microcoils), operators should first understand the mechanism
of action, advantages and disadvantages, common applications, and proper preparation
and injection techniques to reduce risk of complications such as nontarget embolization,
proximal occlusion preventing distal embolization, and microcatheter occlusion.
Keywords
interventional radiology - glue embolization - trauma - N-butyl 2-cyanoacrylate glue
