Evidence map›Paper›PMID 33911014›Full record

ArticleJournal of neurointerventional surgery2022

Major complications of dural venous sinus stenting for idiopathic intracranial hypertension: case series and management considerations.

Robert Kyle Townsend, Alec Jost, Matthew R Amans, Ferdinand Hui, Matthew T Bender, Sudhakar R Satti, Robert Maurer, Kenneth Liu, Waleed Brinjikji, Kyle M Fargen

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of neurointerventional surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Endovascular vs surgical treatment of sigmoid sinus diverticulum causing pulsatile tinnitus: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
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  4. 3D digital subtracted angiography venous roadmapping for endovascular management of dural venous stenosis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
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  8. Self-reported cognitive dysfunction improves following venous sinus stenting.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Robert Kyle TownsendNeurological Surgery, Wake Forest University, Winston-Salem, North Carolina, USA rktownse@wakehealth.edu.
Alec JostWake Forest School of Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID http://orcid.org/0000-0003-2628-3072
Matthew R AmansRadiology and Biomedical Imaging, UCSF, San Francisco, California, USA.ORCID http://orcid.org/0000-0002-8209-0534
Ferdinand HuiRadiology, Johns Hopkins University, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0003-3759-7886
Matthew T BenderNeurosurgery, University of Rochester Medical Center, Rochester, New York, USA.ORCID http://orcid.org/0000-0002-5101-0431
Sudhakar R SattiNeurointerventional Surgery, CCHS, Newark, Delaware, USA.
Robert MaurerNeurosurgery, Penn State Health Neurosurgery, Hershey, Pennsylvania, USA.
Kenneth LiuNeurosurgery, University of Southern California, Los Angeles, California, USA.
Waleed BrinjikjiRadiology, Mayo Clinic Minnesota, Rochester, Minnesota, USA.ORCID http://orcid.org/0000-0001-5271-5524
Kyle M FargenNeurosurgery, Wake Forest University, Winston-Salem, North Carolina, USA.
Wake Forest University · USJohns Hopkins University · USMayo Clinic · USNeurological Surgery · USPenn State Milton S. Hershey Medical Center · USUniversity of Rochester Medical Center · USUniversity of Southern California · US

Funding

Improved durability of sinus stenting for idiopathic intracranial hypertension using advanced MR flow analysisR56HL149124 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AMANS, MATTHEW · 2019 to 2019
$555k
NHLBI NIH HHS R56 HL149124
6 · The paper itself

Abstract

backgroundVenous sinus stenting (VSS) is a safe, effective, and increasingly popular treatment option for selected patients with idiopathic intracranial hypertension (IIH). Serious complications associated with VSS are rarely reported.

methodsSerious complications after VSS were identified retrospectively from multicenter databases. The cases are presented and management strategies are discussed.

resultsSix major acute and chronic complications after VSS were selected from a total of 811 VSS procedures and 1466 venograms for IIH. These included an acute subdural hematoma from venous extravasation, cases of both intraprocedural and delayed stent thrombosis, an ultimately fatal cerebellar hemorrhage resulting in acute obstructive hydrocephalus, venous microcatheter perforation during venography and manometry, and a patient who developed subarachnoid hemorrhage and subdural hematoma after cerebellar cortical vein perforation. The six cases are reviewed and learning points regarding complication avoidance and management are presented.

conclusionWe report on six rare, major complications after VSS for IIH. Familiarity with these potential complications and appropriate timely management may allow for good clinical outcomes.

Indexed as

Intracranial HypertensionPseudotumor CerebriTransverse SinusesCranial SinusesHumansRetrospective StudiesStentscomplicationstentvein

Identifiers

PMID33911014
PMCPMC8722449
OpenAlexW3159790279

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.