Stent implantation for treating idiopathic intracranial hypertension complicated with venous sinus stenosis
10.13929/j.issn.1672-8475.2024.09.001
- VernacularTitle:植入支架治疗特发性颅内高压症合并静脉窦狭窄
- Author:
Zhen XU
1
;
Hao HE
;
Yingge XU
;
Wenying BAO
;
Song ZHANG
;
Ming ZHU
;
Yinyin WU
;
Lei YAN
;
Shaofeng SHUI
Author Information
1. 郑州大学第一附属医院放射介入科,河南 郑州 450052
- Keywords:
intracranial hypertension;
stenosis;
stents
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(9):513-516
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of stent implantation for treating idiopathic intracranial hypertension(IIH)complicated with venous sinus stenosis(VSS).Methods Data of 54 patients with IIH complicated with VSS who underwent stent implantation were retrospectively analyzed.The papillary edema grade,lumbar puncture-opening pressure(LP-OP)and trans-stenotic pressure gradient of venous sinus(ΔP)before and after stent implantation were compared,and the symptom improvement and treatment-related complications during the follow-up period were recorded.Results Totally 60 stents were successfully implanted in 54 patients.Before stent implantation,the papillary edema grade was 3(3,3),LP-OP was(391.39±92.62)mmH2O and the ΔP was 18.50(15.00,25.00)mmHg,which decreased to 1(0,1),(208.80±62.31)mmH2O and 1.25(0.88,2.55)mmHg after stent implantation,respectively,all with significant differences(all P＜0.001).Clinical symptoms improved after stent implantation in all 54 patients.At the end of follow-up,disappearance of headache,papillary edema,visual disorder,abducent nerve paralysis and tinnitus were noticed in 30(30/37,81.08%),38(38/45,84.44%),41(41/45,91.11%),8(8/10,80.00%)and 9 cases(9/10,90.00%),respectively.Treatment-related complications occurred in 4 cases(4/54,7.41%),all improved after intervention.Conclusion Stent implantation was effective and safe for treating IIH complicated with VSS.
