3 year old boy presented with progressive enlargement of the right eye with associated redness.

 Angiogram shows a Carotico Cavernous fistula with supply from both the Internal and external carotid artery . (type D). These cases cannot be treated by surgery and the only option occluding the veins that the arteries drain into. A catheter was taken from a vein in the thigh(Femoral Vein) and introduced into the abnormal venous sac . The sac was then embolized with multiple platinum coils.

 

 

 

 

 

 

 

 

 The post procedure Angiogram shows excellent result with no further filling of the abnormal vessels.

The eye returned back to normal in 24 hours and he continues to do well after 3 years.