# Intravascular embolization of a direct orbital arteriovenous fistula: case report and review of the literature

## TL;DR

A rare case of a direct orbital arteriovenous fistula was successfully treated with embolization after decompression surgery.

## Contribution

This case report presents a novel approach to treating a rare and challenging vascular condition.

## Key findings

- The patient underwent successful medial orbital decompression followed by embolization of two fistulas.
- Fluoroscopic guidance was used to directly cannulate and treat the vascular anomaly.

## Abstract

Orbital arteriovenous fistulas are exceedingly rare and present a unique challenge due to difficulties with access. We report a case of a patient with an acute progressive direct orbital arteriovenous fistula causing orbital compartment syndrome and compressive optic neuropathy. He underwent medial orbital decompression followed immediately by direct cannulation of the vascular anomaly, through which two separate fistulas were embolized under fluoroscopic guidance.