Especially we have performed successfully 10 emergency procedures for severe tramatic CCF accompanied with: severe nose and throat bleeding causes by rupture ICA pseudoaneurysm in 2 cases, subarachnoid hemorrhage in 1 case, rapid progressive visual loss and blind in 2 cases, unrupture pseudoaneurysm ICA in sphenoid sinus in 3 cases, neurological deficit causes by cortical vein reflux and venous congestion in 2 cases. Conclusion: On the basis of these results, we conclude that Endovascular therapy provides a high rate of fistula obliteration with low complication rate and is the best initial procedure to treat Carotid Cavernous Fistulas.