Evidence map›Paper›PMID 41154158›Full record

ReviewBrain sciences2025

Idiopathic Intracranial Hypertension Animal Models and Venous Sinus Stenting: Status of Disease and Device-Focused Evidence.

Julien Ognard, Gerard El Hajj, Sevda Alipour Khabir, Esref A Bayraktar, Sherief Ghozy, Ramanathan Kadirvel, David F Kallmes, Waleed Brinjikji

Abstract readReview
In one paragraph

Review in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Julien OgnardDepartment of Radiology, Mayo Clinic, First St. SW, Rochester, MN 55905, USA.ORCID 0000-0003-4495-7464
Gerard El HajjDepartment of Radiology, Mayo Clinic, First St. SW, Rochester, MN 55905, USA.ORCID 0000-0002-8896-8280
Sevda Alipour KhabirDepartment of Radiology, Mayo Clinic, First St. SW, Rochester, MN 55905, USA.
Esref A BayraktarDepartment of Radiology, Mayo Clinic, First St. SW, Rochester, MN 55905, USA.ORCID 0000-0002-8245-2689
Sherief GhozyDepartment of Radiology, Mayo Clinic, First St. SW, Rochester, MN 55905, USA.
Ramanathan KadirvelDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
David F KallmesDepartment of Radiology, Mayo Clinic, First St. SW, Rochester, MN 55905, USA.
Waleed BrinjikjiDepartment of Radiology, Mayo Clinic, First St. SW, Rochester, MN 55905, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesIdiopathic intracranial hypertension (IIH) often features dural venous sinus stenosis; venous sinus stenting (VSS) improves venous outflow and intracranial pressure, but most stents are off-label, and few are engineered for intracranial venous anatomy. The aim was to synthesize animal models relevant to IIH/VSS, catalogue stents used clinically for VSS and summarize corresponding animal data, appraise current preclinical VSS research, and propose a pragmatic preclinical evaluation framework.

methodsWe performed a targeted search (PubMed, Web of Science, Scopus; through to May 2025), dual-screened the records in Nested Knowledge, and extracted the model/device characteristics and outcomes as per the predefined criteria.

resultsWe identified 65 clinical VSS studies; most were retrospective and used off-label carotid/peripheral/biliary stents (Precise, Zilver, and Wallstent were the most frequent). Recent dedicated systems (River, BosStent) have limited animal evidence; VIVA has GLP porcine venous peripheral data demonstrating its patency, structural integrity, and benign healing outcomes. Rodent models reproduce obesity/androgen drivers with modest, sustained ICP elevation; large animal models show the technical feasibility of in sinus implantation, but no chronic focal venous stenosis model fully mirrors the IIH condition.

conclusionsDespite broad clinical uptake, the translational underpinnings of VSS in IIH remain incomplete: most devices lack intracranial venous-specific preclinical validation, and there is no existing animal model that recapitulates both IIH biology and focal sinus stenosis.

Indexed as

animal modelsidiopathic intracranial hypertensionpreclinical researchtranslational frameworkvenous sinus stenting

Identifiers

PMID41154158
PMCPMC12564184

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Registered trials

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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.