Cavernous sinus dural arteriovenous fistulas (dAVFs) are most frequently treated by a transvenous approach via the inferior petrosal sinus (IPS). However, in certain patients, the IPS is not amenable to navigation. In this technical video, we present the case of a patient with a cavernous sinus dAVF embolized by the transfemoral transfacial venous route on a failed attempt to catheterize the IPS. Preprocedural head and neck imaging was performed, documenting the facial vein draining to the inter…