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Catheter angiography involving injection of the right internal carotid artery, revealing contrast filling within the right cavernous sinus (arrow), along with retrograde flow extending to the dilated superior ophthalmic vein (arrowhead), confirming the presence of a right carotidcavernous fistula.

Catheter angiography involving injection of the right internal carotid artery, revealing contrast filling within the right cavernous sinus (arrow), along with retrograde flow extending to the dilated superior ophthalmic vein (arrowhead), confirming the presence of a right carotidcavernous fistula.

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A carotid-cavernous fistula is a rare vascular anomaly involving abnormal communication between the carotid artery and the cavernous sinus. This condition leads to the shunting of arterial blood directly into the venous system, causing diverse clinical manifestations. The classification includes direct and indirect fistulas, with endovascular techn...