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The DAVF progressed from Cognard grade I to IIa\u2009+\u2009b. A transvenous approach was chosen. Attempts to access the left inferior petrosal sinus (IPS) via the left internal jugular vein failed due to occlusion. An alternative route through the left superior ophthalmic vein and left cavernous sinus to the IPS was devised. Successful coil occlusion of the IPS was achieved. Postoperatively, symptoms resolved, and angiography showed no cortical venous reflux.<\/jats:p>","DOI":"10.1177\/15910199251316407","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T01:39:07Z","timestamp":1738633147000},"page":"281-286","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Quest for the optimal venous access in a complex skull base dural fistula: Case illustrations and principles"],"prefix":"10.1177","volume":"31","author":[{"given":"Eyad","family":"Almallouhi","sequence":"first","affiliation":[{"name":"Department of Neuroscience, Sarasota Memorial Hospital, Sarasota, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mithun G.","family":"Sattur","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9635-7471","authenticated-orcid":false,"given":"Rahim","family":"Abo Kasem","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Muthana","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Baghdad, Baghdad, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro M.","family":"Spiotta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Neuroendovascular Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.116.012784"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1990.72.6.0839"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3171\/2012.5.JNS111257"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A7304"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-009-0620-x"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.08.087"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1227\/ONS.0000000000000010"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-006-0056-2"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/159101990801400311"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1500"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis.2010.003095"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3171\/2019.4.JNS183458"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-27315-0_19"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-012164"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199251316407","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15910199251316407","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199251316407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:56:37Z","timestamp":1777460197000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15910199251316407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,3]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/15910199251316407"],"URL":"https:\/\/doi.org\/10.1177\/15910199251316407","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,3]]}}}