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(A) Photograph of hybrid surgery suite. (B) Skull model simulation of direct puncture to the periclival venous plexus with a needle. (C) Injection of n-butyl cyanoacrylate (NBCA) glue after craniotomy and direct puncture of the venous side of the fistula. (D) Intraoperative angiogram showing successful obliteration of the dural arteriovenous fistula.
