Images in a 29-year-old man with a left TCCF and a TCA of the supraclinoid ICA.
A, Endovascular occlusion of the TCCF was attempted 3 weeks after trauma. Right lateral postembolization angiogram shows partial occlusion of right TCCF. There is no evidence of the TCA at the supraclinoid ICA because of its latent period.
B, Second embolization was performed 2 weeks after the first attempt. A small TCA was initially ignored (arrow) and found after subtotal occlusion of the residual TCCF. However, fatal rupture occurred before an attempt to treat the TCA was made.