PT  - JOURNAL ARTICLE
AU  - Justin M Caplan
AU  - Ian Kaminsky
AU  - Philippe Gailloud
AU  - Judy Huang
TI  - A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula
AID  - 10.1136/bcr-2013-011011
DP  - 2014 Jan 07
TA  - BMJ Case Reports
PG  - bcr2013011011
VI  - 2014
4099  - http://casereports.bmj.com/content/2014/bcr-2013-011011.short
4100  - http://casereports.bmj.com/content/2014/bcr-2013-011011.full
AB  - 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.