简介:Endovascularembolismtechniquehasbeendemonstratedtobethebestinitialoptionfortreatmentofcarotidcavernousfistula(CCF).SeverallargeseriesreportshaveshownthatmostCCFscanbesuccessfullyoccludedviatransarterialortransvenousendovascularapproach.1-6ThispaperreportsacaseofCCFrecurredafterendovascularocclusionofinternalcarotidartery(ICA)proximaltothefistula.AnewtechniquehasbeendescribedfortransarterialembolizationwithtungstenmicrocoilsviasurgicalexposuretoICA,whichhasnotbeenreportedpreviouslyintheliteratures.