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

Journal article

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

Authors: Li, Y-L; Rai, S; Cox, PJ

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: Korean Society of Interventional Neuroradiology
• Journal: Neurointervention
• Volume: 19
• Issue: 2
• Pages: 106-110
• Publication date: 2024-06-11
• DOI: 10.5469/neuroint.2024.00213
• ISSN: 2093-9043
• Language: English
• Keywords: Embolization; Carotid-cavernous fistula; Medicine; Computed tomography; Iodinated contrast; Angiography; Gadolinium; Fluoroscopy; Fistula; Radiology