Transvenous embolization of indirect carotid-cavernous fistula via puncture of the cubital vein and distal radial artery

Boris B. Gegenava, MD, PhD; Revaz S. Dzhindzhikhadze, MD, PhD; Dmitriy V. Shumakov, MD, PhD; Elena E. Grishina, MD, PhD; Maxim S. Kapranov, MD; Sergey A. Kurnosov, MD

Radiology Case Reports (Jul 2020)

Transvenous embolization of indirect carotid-cavernous fistula via puncture of the cubital vein and distal radial artery

Boris B. Gegenava, MD, PhD,
Revaz S. Dzhindzhikhadze, MD, PhD,
Dmitriy V. Shumakov, MD, PhD,
Elena E. Grishina, MD, PhD,
Maxim S. Kapranov, MD,
Sergey A. Kurnosov, MD

Affiliations

Boris B. Gegenava, MD, PhD: Corresponding author.; Moscow Regional Research and Clinical Institute Named After M.F. Vladimirskiy, Shepkina str., 61/2, Moscow 129110, Russian Federation
Revaz S. Dzhindzhikhadze, MD, PhD: Moscow Regional Research and Clinical Institute Named After M.F. Vladimirskiy, Shepkina str., 61/2, Moscow 129110, Russian Federation
Dmitriy V. Shumakov, MD, PhD: Moscow Regional Research and Clinical Institute Named After M.F. Vladimirskiy, Shepkina str., 61/2, Moscow 129110, Russian Federation
Elena E. Grishina, MD, PhD: Moscow Regional Research and Clinical Institute Named After M.F. Vladimirskiy, Shepkina str., 61/2, Moscow 129110, Russian Federation
Maxim S. Kapranov, MD: Moscow Regional Research and Clinical Institute Named After M.F. Vladimirskiy, Shepkina str., 61/2, Moscow 129110, Russian Federation
Sergey A. Kurnosov, MD: Moscow Regional Research and Clinical Institute Named After M.F. Vladimirskiy, Shepkina str., 61/2, Moscow 129110, Russian Federation

Journal volume & issue: Vol. 15, no. 7
pp. 1103 – 1109

Abstract

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Carotid-cavernous fistula (CCF) is a pathologic communication between carotid arteries and cavernous sinus. The goal of endovascular treatment is to completely interrupt the carotid-cavernous communication with preserving normal blood flow in carotid arteries. Embolization can be performed via transarterial or transvenous access depending on anatomy and angioarchitecture of fistula. In this report, we present a 64-year-old woman with indirect CCF. Effective and safe embolization of indirect CCF was performed using distal radial access for diagnosis and navigation and cubital vein for simultaneous venous access for therapeutic endovascular manipulations, completely avoiding femoral access.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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