{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T14:46:40Z","timestamp":1781534800915,"version":"3.54.5"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground<\/jats:title>\nNon-sinus type parasagittal dural arteriovenous fistula (DAVF) is associated with a high incidence of cortical venous reflux and is susceptible to the development of progressive symptoms, including venous infarction and cerebral hemorrhage. Well-developed superficial temporal arteries (STAs) and\/or occipital arteries (OAs) are frequently involved, which present a challenge in controlling liquid embolic material when injecting liquid embolic material from the middle meningeal artery (MMA). We developed a method to control the feeding from cutaneous vessels using a circular plastic disc and a rubber band.<\/jats:p>\n<\/jats:sec>\n\nCase Description<\/jats:title>\nWe present a case of a 48-year-old male with upper and lower extremity paralysis and diminished sensation in the left lower extremity. Imaging studies revealed a non-sinus type parasagittal DAVF (Borden type III, Cognard type IV) with bilateral MMAs and transosseous feeders from the STA and OA. To control blood flow from cutaneous feeders during Onyx embolization, we used a circular plastic disc and a rubber band to compress the feeders. The DAVF was successfully occluded without any complications. Cutaneous vessels were preserved after embolization.<\/jats:p>\n<\/jats:sec>\n\nConclusion<\/jats:title>\nOur technique, which employs a circular plastic disc and rubber band to physically compress the cutaneous feeders and regulate blood flow during transarterial embolization for non-sinus type parasagittal DAVF, represents a valuable approach to preserving the cutaneous vessels and promptly assessing complete occlusion following the procedure. At the same time, it avoids the potential risks of radiation exposure to the surgical assistant.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_143_2025","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T07:40:04Z","timestamp":1744962004000},"page":"145","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Well-developed cutaneous feeder compression using a circular plastic disc and a rubber band for embolization of non-sinus type parasagittal dural arteriovenous fistula"],"prefix":"10.25259","volume":"16","author":[{"given":"Atsushi","family":"Hirota","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Seisyukai Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinobu","family":"Horio","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Seisyukai Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jota","family":"Tega","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Seisyukai Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichiro","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Seisyukai Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rina","family":"Shibayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Seisyukai Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Fukuoka Seisyukai Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromasa","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichiro","family":"Takemoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"10.25259\/SNI_143_2025\/ref-1","doi-asserted-by":"crossref","first-page":"E16","DOI":"10.3171\/2023.12.FOCUS23792","article-title":"Clinical and radiological features of parasagittal Dural arteriovenous fistulas: A report of 8 cases from a single institution","volume":"56","author":"Alexander","year":"2024","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_143_2025\/ref-2","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/s10143-014-0594-y","article-title":"Cranial dural arteriovenous shunts. 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The shunts of the bridging veins and leptomeningeal venous drainage","volume":"38","author":"Baltsavias","year":"2015","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_143_2025\/ref-3","first-page":"56","article-title":"Surgical treatment of intracranial Dural arteriovenous fistulae: Role of venous drainage","volume":"47","author":"Collice","year":"2000","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_143_2025\/ref-4","doi-asserted-by":"crossref","first-page":"542","DOI":"10.5797\/jnet.cr.2017-0131","article-title":"Non-sinus-type Dural arteriovenous fistula cured by transarterial embolization from middle meningeal artery: Two case reports","volume":"12","author":"Hayashi","year":"2018","journal-title":"J Neuroendovasc Ther"},{"key":"10.25259\/SNI_143_2025\/ref-5","doi-asserted-by":"crossref","first-page":"CASE22395","DOI":"10.3171\/CASE22395","article-title":"Manual superficial temporal artery compression using a circular plastic material for embolization of meningioma: Illustrative case","volume":"5","author":"Horio","year":"2023","journal-title":"J Neurosurg Case Lessons"},{"key":"10.25259\/SNI_143_2025\/ref-6","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.wneu.2018.10.145","article-title":"Current status of endovascular treatment for Dural arteriovenous fistulas in the superior sagittal sinus region: A systematic review of the literature","volume":"122","author":"Hou","year":"2019","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_143_2025\/ref-7","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.wneu.2019.07.012","article-title":"Transarterial embolization of Dural arteriovenous fistula in superior sagittal sinus under bilateral external carotid artery flow control: Technical note","volume":"130","author":"Kotsugi","year":"2019","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_143_2025\/ref-8","doi-asserted-by":"crossref","first-page":"e00019","DOI":"10.1227\/neuopn.0000000000000019","article-title":"Characteristic of non-sinus-type parasagittal Dural arteriovenous fistulas: Clinical and cadaveric experiences","volume":"3","author":"Miyake","year":"2022","journal-title":"Neurosurgery Open"},{"key":"10.25259\/SNI_143_2025\/ref-9","doi-asserted-by":"crossref","first-page":"105853","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.105853","article-title":"A damp-and-push technique for the copolymer (Onyx) embolization of Dural arteriovenous fistula","volume":"30","author":"Omura","year":"2021","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"10.25259\/SNI_143_2025\/ref-10","doi-asserted-by":"crossref","first-page":"S410","DOI":"10.4103\/2152-7806.183518","article-title":"Onyx removal after embolization of a superior sagittal sinus Dural arteriovenous fistula involving scalp artery","volume":"7","author":"Watanabe","year":"2016","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_143_2025\/ref-11","doi-asserted-by":"crossref","first-page":"91","DOI":"10.15274\/INR-2014-10013","article-title":"The usefulness of subcutaneous infiltration of epinephrine-containing lidocaine for curative transarterial embolization of Dural arteriovenous fistula. A technical note","volume":"20","author":"Yamauchi","year":"2014","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_143_2025\/ref-12","first-page":"123","article-title":"Scalp to meningeal arterial anastomosis in the parietal foramen","volume":"58","author":"Yoshioka","year":"2006","journal-title":"Neurosurgery"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/well-developed-cutaneous-feeder-compression-using-a-circular-plastic-disc-and-a-rubber-band-for-embolization-of-non-sinus-type-parasagittal-dural-arteriovenous-fistula\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/well-developed-cutaneous-feeder-compression-using-a-circular-plastic-disc-and-a-rubber-band-for-embolization-of-non-sinus-type-parasagittal-dural-arteriovenous-fistula\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T07:40:06Z","timestamp":1744962006000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/well-developed-cutaneous-feeder-compression-using-a-circular-plastic-disc-and-a-rubber-band-for-embolization-of-non-sinus-type-parasagittal-dural-arteriovenous-fistula\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,18]]},"references-count":12,"alternative-id":["10.25259\/SNI_143_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_143_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4,18]]},"article-number":"145"}}