Endovascular treatment of a ruptured dual aperture cavernous aneurysm

The authors describe the diagnosis and endovascular management of a multiap erture, ruptured cavernous internal carotid artery aneurysm causing a carot id cavernous fistula (CCF) using both transarterial and transvenous techniq ues. Although uncommon, recognition of the imaging characteristics of such a lesion will aide in successful management and improve treatment outcome. To the authors' knowledge, CCF due to a ruptured cavernous aneurysm with mu ltiple shunts has not been previously reported.