TY - JOUR T1 - A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula JF - BMJ Case Reports DO - 10.1136/bcr-2013-011011 VL - 2014 SP - bcr2013011011 AU - Justin M Caplan AU - Ian Kaminsky AU - Philippe Gailloud AU - Judy Huang Y1 - 2014/01/07 UR - http://casereports.bmj.com/content/2014/bcr-2013-011011.abstract N2 - A 55-year-old woman with a symptomatic Borden II/Cognard IIa+b transverse sinus dural arteriovenous fistula underwent an attempted percutaneous transvenous embolization which was ultimately not possible given the fistula anatomy. She then underwent a partial percutaneous transarterial embolization but the fistula recurred. Given the failed percutaneous interventions, the patient underwent a combined open surgical/transvenous embolization using neuronavigation and a single burr hole craniectomy. She has remained symptom free for 3 months. This case report illustrates the feasibility of combining minimally invasive open surgical access to allow for direct venous cannulation for endovascular embolization of a dural arteriovenous fistula when traditional percutaneous methods are not an option. ER -