We present a case of massive epistaxis caused by an internal carotid artery
aneurysm. The initial treatment with endovascular balloon embolization fai
led as a result of balloon displacement. After rebleeding. the intracaverno
us aneurysm was treated with an endovascular detachable balloon embolizatio
n technique, which resulted in cessation of epistaxis. The different treatm
ent options for interventional radiology and management of ruptured carotid
artery aneurysms are discussed.