{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:44Z","timestamp":1756339604289,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,12,9]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>We describe a novel technique of vein of Labb\u00e9 preservation using balloon protection during embolisation of a transverse-sigmoid sinus dural arteriovenous fistula. A patient with refractory Cognard type IV fistula of the left transverse-sigmoid sinus and persistent pulsatile tinnitus underwent successful embolisation of the lesion via transarterial route. During embolisation, a dual lumen balloon was simultaneously inflated within the vein of Labb\u00e9, at its orifice in the transverse-sigmoid sinus junction, to prevent embolic reflux. This allowed for liquid embolic embolisation of the fistula via the transarterial route resulting in complete occlusion. The patient recovered well with marked improvement of his tinnitus.<\/jats:p>","DOI":"10.1136\/bcr-2022-252830","type":"journal-article","created":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T09:45:45Z","timestamp":1672393545000},"page":"e252830","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Balloon protection of the vein of Labb\u00e9 during embolisation of a dural arteriovenous fistula"],"prefix":"10.1136","volume":"15","author":[{"given":"Jasmeet","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Radiology, Division of Neurointerventional Radiology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9512-9461","authenticated-orcid":false,"given":"Anna Luisa","family":"K\u00fchn","sequence":"additional","affiliation":[{"name":"Department of Radiology, Division of Neurointerventional Radiology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3649-102X","authenticated-orcid":false,"given":"Katyucia","family":"de Macedo Rodrigues","sequence":"additional","affiliation":[{"name":"Radiology, Greensboro Radiology, Greensboro, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajit S","family":"Puri","sequence":"additional","affiliation":[{"name":"Department of Radiology, Division of Neurointerventional Radiology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"key":"2025082712425837000_15.12.e252830.1","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2011-010237"},{"key":"2025082712425837000_15.12.e252830.2","doi-asserted-by":"crossref","first-page":"235","DOI":"10.3174\/ajnr.A0817","article-title":"Endovascular treatment of intracranial dural arteriovenous fistulas with cortical venous drainage: new management using Onyx","volume":"29","author":"Cognard","year":"2008","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082712425837000_15.12.e252830.3","doi-asserted-by":"publisher","DOI":"10.3171\/2016.5.JNS16331"},{"key":"2025082712425837000_15.12.e252830.4","doi-asserted-by":"crossref","DOI":"10.25259\/SNI_503_2021","article-title":"Utility of targeted balloon protection of the venous sinus for endovascular treatment of dural arteriovenous fistula by transarterial embolization with Onyx: a case report and literature review","volume":"12","author":"Tagawa","year":"2021","journal-title":"Surg Neurol Int"},{"key":"2025082712425837000_15.12.e252830.5","doi-asserted-by":"publisher","DOI":"10.1177\/1591019915609119"},{"key":"2025082712425837000_15.12.e252830.6","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A5333"},{"key":"2025082712425837000_15.12.e252830.7","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.radcr.2020.01.018","article-title":"Transarterial Onyx embolization with targeted balloon-assisted sinus protection for treatment of dural arteriovenous fistula of the lateral tentorial sinus","volume":"15","author":"Matsuo","year":"2020","journal-title":"Radiol Case Rep"},{"key":"2025082712425837000_15.12.e252830.8","doi-asserted-by":"publisher","DOI":"10.1007\/BF01401304"},{"key":"2025082712425837000_15.12.e252830.9","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-011-0782-1"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-252830","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:43:04Z","timestamp":1756323784000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-252830"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12]]},"references-count":9,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,12,30]]},"published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1136\/bcr-2022-252830"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-252830","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,12]]}}}