Significant vascular lesions of the head and neck, such ascarotid-cavernous fistulas (CCFs) and internal carotid artery pseudoaneurysms (ICAPs), may occur after traumatic injuries. Theselesions are rare, but even rarer is their concurrent occurrence. Wereport a young patient with a prior history of a cervical gunshotinjury who developed a right-sided direct CCF (dCCF) and an ipsilateral cervical ICAP, treated with endovascular therapy (EVT).
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