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Direct Carotid-Cavernous Fistula due to Aneurysmal Rupture with Residual Aortic Dissection Treated by Coil Embolization via Direct Puncture of the Common Carotid Artery: A Case Report

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Case report highlights coil embolization success for direct carotid-cavernous fistula, despite aortic dissection.

Successful occlusion of the fistula was achieved using coil embolization techniques.
A 95-year-old female patient presented with vascular complications from an aneurysmal rupture.
The approach involved puncturing the common carotid artery due to challenging vascular anatomy.
Post-operative recovery was favorable, with significant improvements in ocular symptoms.

Oichi et al. (2025) studied this question.

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