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Xian-Li Lv, You-Xiang Li, Ai-Hua Liu, Ming Lv, Peng Jiang, Jing-Bo Zhang, and Zhong-Xue Wu

✓The authors present the case of a patient with a direct carotid artery–cavernous sinus fistula caused by head trauma in whom a self-expanding covered stent was successfully used to obliterate the fistula. However, at the 9-month follow-up an angiogram revealed a complex caroticocavernous fistula that was completely obliterated with Onyx 18 transarterially.