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

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

doi:10.1016/j.radcr.2020.04.047

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

Radiol Case Rep. 2020 May 23;15(7):1103-1109. doi: 10.1016/j.radcr.2020.04.047. eCollection 2020 Jul.

Authors

Boris B Gegenava¹, Revaz S Dzhindzhikhadze¹, Dmitriy V Shumakov¹, Elena E Grishina¹, Maxim S Kapranov¹, Sergey A Kurnosov¹

Affiliation

¹ Moscow Regional Research and Clinical Institute Named After M.F. Vladimirskiy, Shepkina str., 61/2, Moscow 129110, Russian Federation.

Abstract

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.

Keywords: Carotid-cavernous fistula, Transvenous embolization; Transarterial navigation, Distal radial access.

Publication types

Case Reports