Abstract
Over the last decade, venous sinus stenting has become one of the most popular treatments for patients with severe IIH symptoms. It is a minimally invasive treatment where a stent is placed into a narrowed vein, usually at the transverse sinus, to restore normal venous outflow from the brain. This treatment is highly effective in lowering intracranial pressure in patients with IIH. However, many patients continue to have (or develop recurrence of) IIH symptoms after stenting. In this chapter we will discuss how doctors select patients for stenting, how the procedure is performed, and what to expect afterward. In addition, we discuss how doctors manage patients that aren’t feeling better after stenting and why this may happen. In this chapter, I have tried to convey everything I know about venous sinus stenting and relay that information to readers in a simplified, easy-to-understand manner.
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References
Fargen KM. A unifying theory explaining venous sinus stenosis and recurrent stenosis following venous sinus stenting in patients with idiopathic intracranial hypertension. J Neurointerv Surg. 2021; Published online ahead of print (Feb 2021). https://doi.org/10.1136/neurintsurg-2020-017208.
Fargen KM, Liu K, Garner RM, et al. Recommendations for the selection and treatment of patients with idiopathic intracranial hypertension for venous sinus stenting. J Neurointerv Surg. 2018;10(12):1203–8.
Garner RM, Aldridge JB, Wolfe SQ, Fargen KM. Quality of life, need for retreatment, and the re-equilibration phenomenon after venous sinus stenting for idiopathic intracranial hypertension. J Neurointerv Surg. 2021;13(1):79–85.
Lee KE, Zehri A, Soldozy S, et al. Dural venous sinus stenting for treatment of pediatric idiopathic intracranial hypertension. J Neurointerv Surg. 2020; Published online ahead of print (Jul 2020). https://doi.org/10.1136/neurintsurg-2020-016183.
Liu KC, Starke RM, Durst CR, et al. Venous sinus stenting for reduction of intracranial pressure in IIH: a prospective pilot study. J Neurosurg. 2017;127(5):1126–33.
Matloob SA, Toma AK, Thompson SD, et al. Effect of venous sinus stenting on intracranial pressure in idiopathic intracranial hypertension. Acta Neurochir. 2017;159(8):1429–37.
Patsalides A, Oliveira C, Wilcox J, et al. Venous sinus stenting lowers the intracranial pressure in patients with idiopathic intracranial hypertension. J Neurointerv Surg. 2019;11(2):175–8.
Starke RM, Wang T, Ding D, et al. Endovascular treatment of venous sinus stenosis in idiopathic intracranial hypertension: complications, neurological outcomes, and radiographic results. Sci World J 2015:140408. https://doi.org/10.1155/2015/140408.
Townsend RK, Jost A, Amans MR, et al. Major complications of dural venous sinus stenting for idiopathic intracranial hypertension: case series and management considerations. J Neurointerv Surg. 2021 Apr 28:neurintsurg-2021-017361. https://doi.org/10.1136/neurintsurg-2021-017361.
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Fargen, K.M. (2021). Venous Sinus Stenting. In: Idiopathic Intracranial Hypertension Explained. Springer, Cham. https://doi.org/10.1007/978-3-030-80042-0_10
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DOI: https://doi.org/10.1007/978-3-030-80042-0_10
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