{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:02:55Z","timestamp":1782864175773,"version":"3.54.5"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Endovascular transarterial or retrograde transvenous occlusion is the preferred modality for treatment of dural arteriovenous fistulas at most intracranial locations. However, transvenous navigation to the segment of interest might not be possible due to occlusion or stenosis of an extracranial or intracranial major venous channel. Direct transcranial access to a major venous sinus proximal to the occlusion is a useful strategy in such situations. This video demonstrates successful endovascular coil embolization of an external carotid artery\u2013internal jugular vein fistula below the jugular foramen through direct transcranial access to the transverse-sigmoid sinus in a patient with bilateral internal jugular vein occlusion.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2025.7.FOCVID2537\">https:\/\/stream.cadmore.media\/r10.3171\/2025.7.FOCVID2537<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2025.7.focvid2537","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T11:12:41Z","timestamp":1759317161000},"page":"V15","source":"Crossref","is-referenced-by-count":0,"title":["Endovascular occlusion of external carotid artery: internal jugular vein fistula via direct transcranial access to transverse-sigmoid sinus"],"prefix":"10.3171","volume":"13","author":[{"given":"Kautilya R.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Thorell","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Borg","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank M.","family":"Mezzacappa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos M.","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L.","family":"Surdell","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mithun G.","family":"Sattur","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"11","key":"b1","series-title":"J Neurol Neurosurg Psychiatry","first-page":"1639","article-title":"Intracranial dural arteriovenous fistulas with or without cerebral sinus thrombosis: analysis of 69 patients","volume":"75","author":"Tsai LK","year":"2004","unstructured":"Tsai LK, Jeng JS, Liu HM, Wang HJ, Yip PK. Intracranial dural arteriovenous fistulas with or without cerebral sinus thrombosis: analysis of 69 patients. J Neurol Neurosurg Psychiatry. 2004;75(11):1639-1641."},{"issue":"2","key":"b2","series-title":"J Neurointerv Surg","first-page":"e5","article-title":"A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula","volume":"7","author":"Caplan JM","year":"2015","unstructured":"Caplan JM, Kaminsky I, Gailloud P, Huang J. A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula. J Neurointerv Surg. 2015;7(2):e5."},{"issue":"10","key":"b3","series-title":"Acta Neurochir (Wien)","first-page":"1855","article-title":"Single stage transcranial exposure of large dural venous sinuses for surgically-assisted direct transvenous embolization of high-grade dural arteriovenous fistulas: technical note","volume":"154","author":"Liu JK","year":"2012","unstructured":"Liu JK, Choudhry OJ, Barnwell SL, Delashaw JB, Dogan A. Single stage transcranial exposure of large dural venous sinuses for surgically-assisted direct transvenous embolization of high-grade dural arteriovenous fistulas: technical note. Acta Neurochir (Wien). 2012;154(10):1855\u20131859."},{"issue":"2","key":"b4","series-title":"Surg Neurol","first-page":"192","article-title":"Selective image-guided venous sinus exposure for direct embolization of dural arteriovenous fistula: technical case report","volume":"69","author":"Bruneau M","year":"2008","unstructured":"Bruneau M, Lubicz B, Pirotte B,  Selective image-guided venous sinus exposure for direct embolization of dural arteriovenous fistula: technical case report. Surg Neurol. 2008;69(2):192\u2013196."},{"issue":"3","key":"b5","series-title":"J Neurosurg","first-page":"352","article-title":"Complex dural arteriovenous fistulas: results of combined endovascular and neurosurgical treatment in 16 patients","volume":"71","author":"Barnwell SL","year":"1989","unstructured":"Barnwell SL, Halbach VV, Higashida RT, Hieshima G, Wilson CB. Complex dural arteriovenous fistulas: results of combined endovascular and neurosurgical treatment in 16 patients. J Neurosurg. 1989;71(3):352\u2013358."},{"issue":"2","key":"b6","series-title":"J Neurosurg","first-page":"280","article-title":"Transcranial approach for venous embolization of dural arteriovenous fistulas","volume":"97","author":"Houdart E","year":"2002","unstructured":"Houdart E, Saint-Maurice JP, Chapot R,  Transcranial approach for venous embolization of dural arteriovenous fistulas. J Neurosurg. 2002;97(2):280-286."},{"issue":"11","key":"b1","series-title":"J Neurol Neurosurg Psychiatry","first-page":"1639","article-title":"Intracranial dural arteriovenous fistulas with or without cerebral sinus thrombosis: analysis of 69 patients","volume":"75","author":"Tsai LK","year":"2004","unstructured":"Tsai LK, Jeng JS, Liu HM, Wang HJ, Yip PK. Intracranial dural arteriovenous fistulas with or without cerebral sinus thrombosis: analysis of 69 patients. J Neurol Neurosurg Psychiatry. 2004;75(11):1639-1641."},{"issue":"2","key":"b2","series-title":"J Neurointerv Surg","first-page":"e5","article-title":"A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula","volume":"7","author":"Caplan JM","year":"2015","unstructured":"Caplan JM, Kaminsky I, Gailloud P, Huang J. A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula. J Neurointerv Surg. 2015;7(2):e5."},{"issue":"10","key":"b3","series-title":"Acta Neurochir (Wien)","first-page":"1855","article-title":"Single stage transcranial exposure of large dural venous sinuses for surgically-assisted direct transvenous embolization of high-grade dural arteriovenous fistulas: technical note","volume":"154","author":"Liu JK","year":"2012","unstructured":"Liu JK, Choudhry OJ, Barnwell SL, Delashaw JB, Dogan A. Single stage transcranial exposure of large dural venous sinuses for surgically-assisted direct transvenous embolization of high-grade dural arteriovenous fistulas: technical note. Acta Neurochir (Wien). 2012;154(10):1855\u20131859."},{"issue":"2","key":"b4","series-title":"Surg Neurol","first-page":"192","article-title":"Selective image-guided venous sinus exposure for direct embolization of dural arteriovenous fistula: technical case report","volume":"69","author":"Bruneau M","year":"2008","unstructured":"Bruneau M, Lubicz B, Pirotte B,  Selective image-guided venous sinus exposure for direct embolization of dural arteriovenous fistula: technical case report. 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