Impaired drainage of vein of Labbé following venous sinus stenting for idiopathic intracranial hypertension

Journal of Neurointerventional Surgery
Srikanth R BodduAthos Patsalides

Abstract

The impact of venous sinus stenting (VSS) on vein of Labbé (VOL) drainage is poorly understood. The purpose of the study is to examine the incidence and potential high risk factors of impaired VOL drainage among idiopathic intracranial hypertension (IIH) patients following VSS. Institutional review board approved prospective evaluation of all IIH patients who underwent VSS over a 5 year period (January 2012 to December 2017) at Weill Cornell Medical Center constituted the study population. Patient demographics, procedural details (laterality of stenting, balloon angioplasty, number of stents, and stent diameters), morphology of the VOL and changes in the flow in the VOL, type of sinus stenosis, and transverse sinus symmetry were evaluated. We used χ2 analysis to evaluate impaired VOL drainage against other variables. Statistical significance was set at 0.05. 70 consecutive patients (67 women, 3 men) with a mean age of 31±9.8 years underwent VSS. Stenosis was extrinsic in 63% (n=44) and intrinsic in 37% (n=26) of patients. Impaired drainage of the VOL was detected in 9/70 (13%) patients. Ipsilateral VOL was recognized as dominant in 20% (n=14), co-dominant in 51% (n=36), and non-dominant in 29% (n=20) of patients. Impaired VOL d...Continue Reading

References

Jan 1, 1992·Acta neurochirurgica·T KopernaE Knosp
Oct 12, 2005·Neurology·Bejoy ThomasArun Kumar Gupta
Feb 18, 2014·Surgical and Radiologic Anatomy : SRA·Pedro Santos SilvaRui Vaz
Apr 10, 2015·Journal of Neurointerventional Surgery·Michael R LevittCameron G McDougall
Nov 26, 2016·Neurologic Clinics·Marc J Dinkin, Athos Patsalides
Jan 12, 2017·Journal of Neurointerventional Surgery·Daniel M S RaperKenneth C Liu
Oct 11, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Pascale LavoieSylvine Carrondo Cottin

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Citations

Feb 20, 2019·Journal of Neurointerventional Surgery·Felipe C Albuquerque
Nov 26, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Justin SchwarzAthos Patsalides
Jun 16, 2021·Diagnostic and Interventional Imaging·Marc-Antoine LabeyrieEmmanuel Houdart

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