Venous sinus stenting for the treatment of isolated pulsatile tinnitus: Results of a prospective trial.

Abstract

OBJECTIVES:

This prospective study evaluates the effectiveness and safety of venous sinus stenting for patients with isolated pulsatile tinnitus and lateral sinus stenosis.

METHODS:

Patients with isolated pulsatile tinnitus and lateral sinus stenosis with a minimum trans stenotic gradient of 4 mm Hg were treated with stenting. Pulsatile tinnitus before and after treatment was assessed with the Tinnitus Handicap Inventory (THI). Periprocedural adverse events, neurological complications, clinical and radiographic follow-up were also recorded.

RESULTS:

A total of 42 patients (41 females and 1 male) were included in the study (median age of 37.5 years). Thirty patients had post-stenotic fusiform and 12 had post-stenotic saccular venous sinus aneurysm. In addition to stenting, coils were used to treat the patients with saccular venous aneurysms. The median follow-up was 5 months (range 1 to 34 months). Most patients had complete (39/42) or near-complete (2/42) resolution of their pulsatile tinnitus post-procedure. There were no serious adverse events.

CONCLUSION:

Stenting of the lateral venous sinus is a safe and effective treatment for patients with isolated pulsatile tinnitus due to venous sinus stenosis.

• Authors: Athos Patsalides, Alejandro Santillan, Sri Hari Sundararajan, Marissa Michael, Maria Suurna, George Alexiades
• Journal: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences (Interv Neuroradiol) Vol. 27 Issue 2 Pg. 266-274 (Apr 2021) ISSN: 2385-2011 [Electronic] United States
• PMID: 33243042 (Publication Type: Journal Article)

Topics

• Adult
• Constriction, Pathologic
• Cranial Sinuses (diagnostic imaging)
• Female
• Humans
• Male
• Prospective Studies
• Retrospective Studies
• Stents
• Tinnitus (therapy)