{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T20:19:04Z","timestamp":1762978744249,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2021,1,19]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Cavernous sinus dural arteriovenous fistulas (CS-DAVF) can have an indolent course, with insidious onset, but still showing a high likelihood of spontaneous resolution.1 Nevertheless, symptoms in a subset of patients evolve more rapidly, with malignant signs on imaging, warranting intervention.2 We report on a patient in his 40s presenting with redness and proptosis of the right eye, intermittent blurred vision and diplopia. Once ophthalmological examination revealed increased intraocular pressure and imaging showed cortical venous congestion, the decision was made to obliterate a CS-DAVF involving the posteromedial right cavernous sinus.<\/jats:p>\n               <jats:p>Multiple arteries including branches of the ascending pharyngeal artery, occipital artery and bilateral meningohypophyseal trunks supplied the fistula. Once transarterial embolization was deemed unsafe and both inferior petrosal sinuses did not grant access to the right cavernous sinus, a direct puncture to the cavernous sinus was performed to successfully coil the involved compartments.3\u20135 The aid of DynaCT imaging and needle guidance software is emphasized (video 1).<\/jats:p>\n               <jats:p>\n                  <jats:fig position=\"float\" id=\"V1\" orientation=\"portrait\">\n                     <jats:label>Video 1<\/jats:label>\n                     <jats:media xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:role=\"media-player-id\" xlink:href=\"BMJ Journals Video Player\" id=\"media1\" mimetype=\"application\" mime-subtype=\"mp4\" content-type=\"play-in-place height-270 width-480\" position=\"float\" orientation=\"portrait\"\/>\n                  <\/jats:fig>\n               <\/jats:p>","DOI":"10.1136\/neurintsurg-2020-017118","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T14:55:10Z","timestamp":1615215310000},"page":"1190-1190","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Percutaneous transorbital direct puncture to obliterate a cavernous sinus dural arteriovenous fistula"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2284-9297","authenticated-orcid":false,"given":"Daniel D","family":"Cavalcanti","sequence":"first","affiliation":[{"name":"Radiology, New York University Langone Health, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2998-8481","authenticated-orcid":false,"given":"Eytan","family":"Raz","sequence":"additional","affiliation":[{"name":"Radiology, New York University Langone Health, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maksim","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Radiology, New York University Langone Health, New York, New York, USA"},{"name":"Neurology, New York University Langone Health, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman","family":"Mir","sequence":"additional","affiliation":[{"name":"Radiology, New York University Langone Health, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erez","family":"Nossek","sequence":"additional","affiliation":[{"name":"Neurosurgery, New York Univesity Langone Health, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter Kim","family":"Nelson","sequence":"additional","affiliation":[{"name":"Radiology, New York University Langone Health, New York, New York, USA"},{"name":"Neurosurgery, New York Univesity Langone Health, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,8]]},"reference":[{"key":"2025092913202613000_13.12.1190.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2004.08.004"},{"key":"2025092913202613000_13.12.1190.2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.163.2.3562823"},{"key":"2025092913202613000_13.12.1190.3","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1076\/noph.20.2.69.8932","article-title":"Dural carotid-cavernous fistula successfully treated by embolization via inferior ophthalmic vein case report","volume":"20","author":"Oono","year":"1998","journal-title":"Neuroophthalmology"},{"key":"2025092913202613000_13.12.1190.4","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012742"},{"key":"2025092913202613000_13.12.1190.5","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A0663"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/neurintsurg-2020-017118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T20:20:31Z","timestamp":1759177231000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/neurintsurg-2020-017118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,8]]},"references-count":5,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2021,11,18]]},"published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1136\/neurintsurg-2020-017118"],"URL":"https:\/\/doi.org\/10.1136\/neurintsurg-2020-017118","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"type":"print","value":"1759-8478"},{"type":"electronic","value":"1759-8486"}],"subject":[],"published":{"date-parts":[[2021,3,8]]}}}