Fatal multiple systemic embolisms after injection of cyanoacrylate in bleeding gastric varices of a patient who was noncirrhotic but with idiopathic portal hypertension

Acrylates are widely used in many countries for the treatment of bleeding gastric varices. 1 Ryan B.M. Stockburger R.W. Ryan J.M. A pathophysiologic, gastroenterologic, and radiologic approach to the management of gastric varices. Gastroenterology. 2004; 126: 1175-1189 Abstract Full Text Full Text PDF PubMed Scopus (259) Google Scholar N-butyl-2-cyanoacrylate has recently been removed from the market and substituted with N-butyl-2-cyanoacrylate plus methacryloxysulpholane (Glubran 2; GEM, Viareggio, Italy), which has proven to have the same profile of tissue and blood compatibility and low toxicity.