Transvenous embolization through the superior ophthalmic vein (SOV) is one of the most effective treatments for cavernous sinus dural arteriovenous fistulas (DAVF). We describe a simple application of intravenous catheterization to approach the SOV with direct percutaneous puncture of the facial vein without a surgical procedure. Contralateral digital subtracted roadmap and arteriogram in anterior-posterior projection are the best image references to place the surface markers precisely for the direct percutaneous puncture of the facial vein in such a circumstance.