Fig. 1

A 49-year-old man presenting with intracranial hemorrhage. a and b Anterior (a) and lateral (b) angiograms show dural arteriovenous fistula at the left superior petrosal sinus with reflux into contralateral medullary veins. c and d Transparent image (c) of 3D angiogram and thick slice maximum intensity reconstruction image (d) demonstrate two main feeding arteries, inferolateral trunk (white arrow) and occipital artery branch (black arrow). Note that inferolateral trunk has very tortuous course and occipital artery branch has trans-osseous course. e A microcatheter with inner diameter of 0.0165-inch is navigated into the occipital branch with a 0.014-inch wire. Arrowhead indicates the tip of microcatheter and arrow indicates 5-F intermediate catheter. f A Scepter-C dual lumen balloon catheter is placed using exchange technique with 0.014-inch 300-cm length exchangeable wire. Black arrowhead indicates the tip of Scepter-C and white arrowheads indicate proximal and distal markers of balloon. g A spot image near the end of the procedure. Dashed arrow indicates inflated balloon. h The final control angiogram at the common carotid artery reveals complete occlusion of the fistula