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ARISE II Consensus on Venous Sinus Stenting
Matthew R Amans1, Kevin Ding2, Ferdinand K Hui2
1From the Department of Radiology and Biomedical Imaging (M.R.A., K.D., B.J.A.), Neurological Surgery (M.R.A.), University of California San Francisco; Department of Neurosurgery (F.K.H.), Queens Medical Center, University of Hawaii; Department of Neurosurgery (K.M.F.), Wake Forest University; Department of Neurosurgery (V.M.P.), Unity Health Toronto; Department of Neurosurgery (D.J.A.), Montefiore Medical Center; Department of Neurology (D.A.), The Valley Hospital; Department of Neurosurgery (J-K.B.), University of Pennsylvania; Department of Neurosurgery (G.P.C.), University of California Los Angeles; Department of Neurosurgery (P.K.), The University of Texas Medical Branch; Department of Neurology (J.M.M.), University of Arkansas for Medical Sciences; Department of Neurology (F.A.), New York Medical College; Department of Neurosurgery (A.H.S.), University at Buffalo; Department of Neurosurgery (A.S.A.), Semmes-Murphey Neurologic and Spine Institute; Department of Neurosurgery (A.S.A.), University of Tennessee Health Science Center; Department of Radiology (A.K.W.), Tufts Medical Center and Department of Neurosurgery (A.P.), North Shore University Hospital, Northwell Health. matthew.amans@ucsf.edu.
Venous sinus stenosis contributes to idiopathic intracranial hypertension and pulsatile tinnitus. Expert consensus supports venous sinus stenting (VSS) as a safe and effective treatment for selected patients.
Area of Science:
- Neurology
- Vascular Surgery
- Neurosurgery
Background:
- Venous sinus stenosis is increasingly recognized as a cause of idiopathic intracranial hypertension (IIH) and pulsatile tinnitus (PT).
- Noninvasive venous imaging advances aid in detecting venous sinus stenosis in IIH patients.
- A link exists between venous sinus stenosis, reduced cerebrospinal fluid absorption, and elevated intracranial pressure (ICP).
Purpose of the Study:
- To develop standardized, evidence-based guidelines for diagnosing and managing venous sinus stenosis.
- To establish expert consensus on patient selection, evaluation, and treatment for venous sinus stenting (VSS).
Main Methods:
- A multidisciplinary roundtable of cerebrovascular experts convened at the ARISE II meeting.
- Discussions focused on existing evidence and areas of expert consensus regarding VSS.
- Key areas included patient selection, diagnostic evaluation, procedural considerations, and post-treatment follow-up.
Main Results:
- Expert consensus supports VSS as a safe and effective therapy for appropriately selected patients.
- The recommendations aim to standardize patient care and optimize outcomes for venous sinus stenosis treatment.
Conclusions:
- Standardized guidelines are crucial for the effective management of venous sinus stenosis.
- Further research is needed to identify opportunities for improving VSS outcomes and patient care.
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