Successful Embolization of a Direct Carotid Cavernous Fistula under Gadolinium-Based Angiography
10.5469euroint.2024.00213
- Author:
Yan-Lin LI
1
;
Sandhya RAI
;
Peter John COX
Author Information
1. Department of Neuroradiology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
- Publication Type:Technical Note
- From:Neurointervention
2024;19(2):106-110
- CountryRepublic of Korea
- Language:EN
-
Abstract:
Endovascular neurointervention is typically performed with iodinated contrast medium (ICM) under fluoroscopy. However, some patients may be contraindicated to such procedures based on their sensitivity to ICM. In this report, we describe a case of successful coil embolization of a direct carotid cavernous fistula using angiography with gadolinium-based contrast agents in a patient with severe allergic reaction to ICM. The clinical decision-making for this patient was further complicated by comorbidities of renal impairment, drug allergies, and previously severe gastrointestinal bleeding.
