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经肘静脉和桡动脉远端穿刺对间接性颈内动脉海绵窦瘘进行经静脉栓塞术。

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

作者信息

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

机构信息

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

出版信息

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

DOI:10.1016/j.radcr.2020.04.047
PMID:32477440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7251543/
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.

摘要

颈动脉海绵窦瘘（CCF）是颈动脉与海绵窦之间的病理性交通。血管内治疗的目标是在保留颈动脉正常血流的情况下，完全阻断颈动脉与海绵窦之间的交通。根据瘘的解剖结构和血管构筑，可经动脉或经静脉途径进行栓塞。在本报告中，我们介绍了一名64岁的间接CCF女性患者。使用桡动脉远端通路进行诊断和导航，并通过肘静脉进行同步静脉通路以进行治疗性血管内操作，对间接CCF进行了有效且安全的栓塞，完全避免了股动脉通路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/30721e44a5ea/gr7.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/d30676c27e8a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/cbcbbefbac29/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/0216466bce0c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/30721e44a5ea/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/d3348abd2a58/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/fc982a49eef5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/96a9ece780ac/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/d30676c27e8a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/cbcbbefbac29/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/0216466bce0c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/7251543/30721e44a5ea/gr7.jpg

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