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Fig. 3. A, Right CCA injection lateral projection demonstrates dural CCF, with feeders from meningohypophyseal trunk with early venous drainage into the right SOV. The IPS is not visualized. No contribution of ECA was appreciated.
B, Transexternal jugular-facial venous access is seen on the lateral projection with a 5F Glidecath XP in the right facial vein and a Prowler 14 microcatheter in the cavernous sinus/SOV junction, and deployed coils.
C, Postprocedure right CCA angiogram lateral projection shows complete occlusion of the fistula with deployed coil mass and Onyx cast. A small piece of dislodged Onyx cast is also shown in the distal segment of right SOV.
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