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

Interv Neuroradiol. 2021 Apr;27(2):266-274. doi: 10.1177/1591019920974185. Epub 2020 Nov 27.


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.

Keywords: Pulsatile tinnitus; venous aneurysm; venous sinus stenosis; venous sinus stenting.

MeSH terms

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