Endovascular treatment of Carotid-cavernous fistulas (CCFs) can be challenging if typical transvenous routes are inaccessible. We describe a case of a traumatic direct carotid-cavernous fistula in which transvenous embolization via the inferior petrosal sinus (IPS) was failed. An embolization of CCF via direct percutaneous puncture of the superior ophthalmic vein (SOV) was done successfully.
Disclosures D. Kim: None. S. Ha: None.
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