Letter to the Editor

Cyanoacrylate-Related Pulmonary Embolism Following Percutaneous Varicocele Embolization

Authors: Likargos Kolilekas, MD, Ioannis Kalomenidis, MD, Effrosyni Manali, MD, Christina Triantafillidou, MD, Elias Brountzos, MD, Spyros Papiris, MD, FCCP, PhD


To the Editor:

As an effective means of varicocele treatment, percutaneous embolization has been shown to be equal to surgical spermatic vein ligation. It is also associated with less postprocedure discomfort. Cyanoacrylates are the main liquid adhesives used in endovascular procedures and have an important role in managing vascular abnormalities.1

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1. Shlansky-Goldeberg RD, VanArsdalen KN, Rutter CM, et al. Percutaneous varicocele embolization versus surgical ligation for the treatment of infertility: changes in seminal parameters and pregnacy outcomes. J Vasc Interv Radiol 1997;8:759–767.
2. Pollak JS, White RI Jr. The use of cyanoacrylate adhesives in peripheral embolization. J Vasc Interv Radiol 2001;12:907–913.
3. Rickman OB, Utz JP, Aughenbaugh GL, et al. Pulmonary embolization of 2-octyl cyanoacrylate after endoscopic injection therapy for gastric variceal bleeding. Mayo Clin Proc 2004;79:1455–1458.