iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2021.v02i02.006Digital Subtraction Angiography Therapy for Caroticocavernous Fistula: Case Series ReportTegoehWinandarMonicaBellyndaGeizarArsikaRamadhanaObjective: The treatment of caroticocavernous fistula is a challenge due to various anatomical and hemodynamic characteristics of a fistula.  The most frequent complaints involve the orbital region. Carotid cavernous fistulas (CCFs) are rare potentially sight-threatening abnormal connections between carot­id artery and cavernous sinus. We present the use of digital subtraction angiography for caroticocavernous fistula involving orbital region. Material and Method: We report two cases of caroticocavernous fistula involving orbital region. The first patient suffered swelling on his right eye in the last 4 months after he hit a tree. The second patient suffered from a massive swelling on her left eye after she underwent craniotomy procedure. Result: Both patients underwent digital subtraction angiotherapy for diagnosing CCF and were planned for CCF occlusion. The first patient’s follow-up post-caroticocavernous fistula occlusion showed good results in the functional aspect and no significant neurological deficit. The second patient showed a spontaneous resolution of caroticocavernous fistula while waiting for occlusion. There was no recurrence of fistula during short term follow-up.  Conclusion: Digital Subtraction Angiotherapy is a safe option for treating caroticocavernous fistula which is manifested at ocular region. This technique has the advantage of preserving visual function without significant neurological deficit.