{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:01:49Z","timestamp":1791525709664,"version":"4.3.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T00:00:00Z","timestamp":1713830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transvenous embolization is a recent treatment strategy for cerebrospinal fluid-venous fistulas (CSFVF), which are associated with spontaneous intracranial hypotension (SIH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were selected from a prospective database on patients with CSFVF that received transvenous Onyx embolization. All patients underwent a brain magnetic resonance imaging (MRI) before and after embolization with MRI follow-up performed at least 3 months after treatment. Clinical and MRI results after treatment were described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-one consecutive patients (median age 63 years, IQR\u2009=\u200958\u201371; females: 15\/21\u2009=\u200971.5%) with 30 CSFVF were included. Most lesions were situated between T9 and L1 (19\/30\u2009=\u200963%), 70% were right-sided, and 38% of the patients had multiples fistulas. Embolization was successful in all cases. The mean MRI SIH score before and after treatment was 6 (\u00b12.5) and 1.4 (\u00b11.6), respectively (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). Twenty patients (90%) experienced improvement of their initial condition, of which 67% reported complete clinical recovery. The mean HIT-6 score decreased from 67 (\u00b115) to 38 (\u00b19) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), the mean amount of monthly headache days from 23.5 (\u00b110) and 3.2 (\u00b16.6) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), the visual assessment scale (VAS) for headache severity from 8 (\u00b11.9) to 1.2 (\u00b12) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), and the mean VAS for perception quality of life improved from 2.6 (\u00b12.5) to 8.6 (\u00b11.8) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). There were no major complications. The suspected rebound headache rate after treatment was 33%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transvenous embolization of CSFVF allowed high rates of clinical improvement with no morbidity related to the treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199241247698","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T04:51:51Z","timestamp":1713847911000},"page":"1404-1412","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Safety and efficacy of transvenous embolization of cerebrospinal fluid-venous fistula in patients with spontaneous intracranial hypotension"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3159-1678","authenticated-orcid":false,"given":"Federico","family":"Cagnazzo","sequence":"first","affiliation":[{"name":"Montpellier University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Ducros","sequence":"additional","affiliation":[{"name":"Montpellier University Hospital"},{"name":"Gui-de-Chauliac"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetano","family":"Risi","sequence":"additional","affiliation":[{"name":"Montpellier University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Charif","sequence":"additional","affiliation":[{"name":"Montpellier University Hospital"},{"name":"Gui-de-Chauliac"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Corti","sequence":"additional","affiliation":[{"name":"Montpellier University Hospital"},{"name":"Gui-de-Chauliac"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Rapido","sequence":"additional","affiliation":[{"name":"Montpellier University Hospital, Gui de Chauliac Montpellier"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuelle","family":"Le Bars","sequence":"additional","affiliation":[{"name":"Montpellier University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Lonjon","sequence":"additional","affiliation":[{"name":"Montpellier University Hospital, Gui de Chauliac Montpellier"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Costalat","sequence":"additional","affiliation":[{"name":"Montpellier University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,23]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000000639"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.4799"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000207763"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A7014"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A7558"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A8005"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2021-018466"},{"key":"e_1_3_4_9_2","article-title":"Clinical and imaging outcomes of 100 patients with cerebrospinal fluid-venous fistulas treated by transvenous embolization","author":"Brinjikji W","unstructured":"Brinjikji W, Madhavan A, Garza I, et al. Clinical and imaging outcomes of 100 patients with cerebrospinal fluid-venous fistulas treated by transvenous embolization. J Neurointerv Surg 2023:jnis-2023-021012. doi:https:\/\/doi.org\/10.1136\/jnis-2023-021012","journal-title":"J Neurointerv Surg"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2022.10.050"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2022-019946"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2018.4921"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0333102410379890"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-023-03411-3"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A6368"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A7927"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2021-018160"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3841"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-023-02264-1"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/head.14379"},{"key":"e_1_3_4_22_2","article-title":"Clinical and imaging outcomes of surgically repaired cerebrospinal fluid-venous fistulas identified by lateral decubitus digital subtraction myelography","author":"Montenegro MM","unstructured":"Montenegro MM, Kissoon NR, Atkinson JLD, et al. Clinical and imaging outcomes of surgically repaired cerebrospinal fluid-venous fistulas identified by lateral decubitus digital subtraction myelography. 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