Successful Embolization of a Direct Carotid Cavernous Fistula under Gadolinium-Based Angiography.

IF 1.2 Q4 CLINICAL NEUROLOGY
Neurointervention Pub Date : 2024-07-01 Epub Date: 2024-06-12 DOI:10.5469/neuroint.2024.00213
Yan-Lin Li, Sandhya Rai, Peter John Cox
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引用次数: 0

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.

在钆基血管造影下成功栓塞颈动脉海绵状直瘘
血管内神经介入通常是在透视下使用碘化造影剂(ICM)进行的。然而,有些患者可能因对 ICM 敏感而禁忌此类手术。在本报告中,我们描述了一例对 ICM 严重过敏的患者使用钆基造影剂进行血管造影并成功栓塞颈动脉海绵状直瘘的病例。肾功能损害、药物过敏和既往严重消化道出血等合并症使该患者的临床决策变得更加复杂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
34
审稿时长
12 weeks
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