Successful treatment of dural AV fistulas by manual compression: a matter of perseverance.

A noninvasive treatment of an occipital dural AV fistula by external compression of the carotid artery and jugular vein is documented. The late successful occlusion of the malformation after almost 19 months and a total of 13,216 single manual compressions shows that fistula occlusion can be achieved late and is dependent on careful performance of the maneuver.