Transradial Comaneci-assisted coiling of a direct carotid-cavernous fistula.
Comaneci
Direct carotid-cavernous fistula
Embolization
Radial access
Stent
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
18
08
2019
revised:
02
09
2019
accepted:
02
09
2019
entrez:
19
11
2019
pubmed:
19
11
2019
medline:
19
11
2019
Statut:
epublish
Résumé
Direct carotid-cavernous fistula is a communication between the internal carotid artery and the cavernous sinus, most of the times established following trauma or rupture of a cavernous aneurysm. The most commonly used treatments (coils, detachable latex balloons, stents, or liquid agents) carry ischemic or hemorrhagic risks, related to hemodynamic diversion of cerebral blood flow or permanent dual antiplatelet therapy. We report a case of coiling of a carotid-cavernous fistula assisted by the Comaneci, a temporary adjustable bridging mesh (Rapid Medical, Israel), to avoid transarterial or -venous migration. In our experience, Comaneci-assisted coiling represents a feasible solution to maintain patency of the distal vessels during coiling and avoid dual antiplatelet medications, even using a transradial approach.
Identifiants
pubmed: 31737134
doi: 10.1016/j.radcr.2019.09.001
pii: S1930-0433(19)30286-9
pmc: PMC6849349
doi:
Types de publication
Case Reports
Langues
eng
Pagination
1554-1557Informations de copyright
© 2019 The Authors.
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