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Updated: Jan 20, 2026
Adult Mouse Venous Hypertension Model: Common Carotid Artery to External Jugular Vein Anastomosis.
Published on: January 27, 2015
Transvenous Stent-assisted Coil Embolization for Management of Dehiscent High Jugular Bulb With Tinnitus and
Se-Joon Oh1,2, Deoksoo Kim1, Jae Il Lee3
1Department of Otorhinolaryngology-Head and Neck Surgery and Biomedical Research Institute, Pusan National University Hospital.
Insights
Transvenous stent-assisted coil embolization effectively treated tinnitus caused by dehiscent high jugular bulbs. This minimally invasive procedure demonstrated safety and complete symptom resolution in all patients, offering a viable alternative to surgery.
Area of Science:
- Vascular Surgery
- Neurosurgery
- Interventional Radiology
Background:
- Dehiscent high jugular bulb (HJB) can cause intractable pulsatile tinnitus.
- Hypoplastic contralateral venous sinus often complicates treatment options for HJB.
- Surgical interventions for HJB may have limitations or recurrence rates.
Purpose of the Study:
- To evaluate the safety and efficacy of transvenous stent-assisted coil embolization for dehiscent HJB.
- To assess this technique in patients with tinnitus and contralateral hypoplastic venous sinus.
- To determine the clinical outcomes and complication rates of the procedure.
Main Methods:
- Retrospective chart review of patients with dehiscent HJB and pulsatile tinnitus.
- Inclusion criteria: intractable tinnitus, hypoplastic contralateral transverse or sigmoid venous sinus.
- Procedure: Transvenous stent-assisted coil embolization of the dehiscent HJB.
Main Results:
- Technical success in all five patients (all female, mean age 45).
- No procedure-related complications; temporary headache in two patients resolved within 3 days.
- Complete resolution of tinnitus in all patients with no recurrence during follow-up.
Conclusions:
- Transvenous stent-assisted coil embolization is a safe and effective treatment for dehiscent HJB with tinnitus.
- This technique is suitable for patients with contralateral hypoplastic venous sinus.
- The procedure preserves cranial venous drainage while resolving symptoms.
Objectives:
This study aimed to evaluate the safety and efficacy of transvenous stent-assisted coil embolization for dehiscent high jugular bulb (HJB) with tinnitus and contralateral hypoplastic venous sinus.
Study Design:
Case series with chart review.
Setting:
Tertiary academic medical center.
Methods:
From September 2008 to October 2018, a series of patients with dehiscent HJB presenting with intractable pulsatile tinnitus abated only by ipsilateral jugular vein compression were included. Patients underwent transvenous stent-assisted coil embolization for selective obstruction to the dome of the HJB due to hypoplastic contralateral transverse or sigmoid venous sinus. Technical safety and clinical efficacy were retrospectively analyzed. Clinical outcome measurements included pure-tone audiogram, tinnitus character, and tinnitus handicap inventory and evaluated based on the change during the first 6 months after the procedure.
Results:
Subjects included five patients with dehiscent HJB and troublesome pulsatile tinnitus who refused surgery (n = 4), or who experienced recurrence after surgical covering and reinforcement using autologous cartilage (n = 1). The mean age of the five patients (only female) was 45 years. Transvenous stent-assisted coil embolization was technically successful in all patients with symptomatic dehiscent HJB, with no procedure-related complications. Temporary postprocedural headache was observed in two patients, but resolved within 3 days. Symptoms were completely resolved in all cases. There was no recurrence or aggravation of tinnitus during follow-up period.
Conclusions:
Transvenous stent-assisted coil embolization for dehiscent HJB with tinnitus and contralateral hypoplastic transverse or sigmoid venous sinus could be a technically safe and clinically effective treatment strategy while preserving cranial venous drainage.
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