RT Journal Article SR Electronic T1 A single burr hole approach for direct transverse sinus cannulation for the treatment of a dural arteriovenous fistula JF Journal of NeuroInterventional Surgery JO J NeuroIntervent Surg FD BMJ Publishing Group Ltd. SP e5 OP e5 DO 10.1136/neurintsurg-2013-011011.rep VO 7 IS 2 A1 Justin M Caplan A1 Ian Kaminsky A1 Philippe Gailloud A1 Judy Huang YR 2015 UL http://jnis.bmj.com/content/7/2/e5.abstract AB A 55-year-old woman with a symptomatic Borden II/Cognard IIa+b transverse sinus dural arteriovenous fistula underwent an attempted percutaneous transvenous embolization which was ultimately not possible given the fistula anatomy. She then underwent a partial percutaneous transarterial embolization but the fistula recurred. Given the failed percutaneous interventions, the patient underwent a combined open surgical/transvenous embolization using neuronavigation and a single burr hole craniectomy. She has remained symptom free for 3 months. This case report illustrates the feasibility of combining minimally invasive open surgical access to allow for direct venous cannulation for endovascular embolization of a dural arteriovenous fistula when traditional percutaneous methods are not an option.