{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:13:04Z","timestamp":1788383584381,"version":"build-2803163510"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"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>Idiopathic intracranial hypertension (IIH) is strongly associated with spontaneous skull-base cerebrospinal fluid (CSF) leaks. Venous sinus stenting (VSS) has proven effective for the treatment of IIH. Hence, its role in spontaneous skull-base CSF leaks is being explored actively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a systematic literature search across EMBASE, MEDLINE, Scopus, The Cochrane Library, and Google Scholar to identify studies reporting the use of VSS for spontaneous skull-base CSF leaks. Studies with pediatric patients, non-English articles, and nonspontaneous leaks were excluded. Failure of treatment (persistence \/ recurrence of CSF leak) was regarded as the primary outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eight studies with 62 patients undergoing VSS for spontaneous skull-base CSF leaks were included. Mean age of the patients was 51.9 years; 87.5% were females. Obesity was highly prevalent, with a mean body mass index of 33.9\u2005kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (4 studies). IIH was noted in 74.6% patients (7 studies). Twenty-six patients (41.9%) underwent VSS alone whereas 36 patients (58.1%) underwent surgical repair\u2009+\u2009VSS. Seven patients (11.3%) had a failure of treatment. Three failures from one study could not be definitively ascribed to either of the groups. Hence, the estimated failure rate for VSS alone ranged from 18.6% (95% CI [0.02 \u2013 0.46]) to 26.4% (95% CI [0.11 \u2013 0.46]), whereas that for surgical repair\u2009+\u2009VSS ranged from 5.5% (95% CI [0.00 \u2013 0.16]) to 12.2% (95% CI [0.01 \u2013 0.32]). Furthermore, the estimated rate for resolution of concomitant IIH-related symptoms was 88.7% (95% CI [0.75 \u2013 0.98%]). Majority of the studies did not report any serious complications or mortality related to VSS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>VSS has a potential role in the management of spontaneous skull-base CSF leaks. Its exact indications as a standalone treatment versus as an adjuvant to surgical repair, and the predictors for successful treatment remain to be defined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199241311626","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:45:21Z","timestamp":1738889121000},"page":"1843-1851","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Venous sinus stenting for management of spontaneous skull-base CSF leaks: A systematic review and meta-analysis"],"prefix":"10.1177","volume":"32","author":[{"given":"Jordan M.","family":"Rasmussen","sequence":"first","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2900-7818","authenticated-orcid":false,"given":"Kautilya R.","family":"Patel","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L.","family":"Surdell","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Thorell","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Borg","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Opperman","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"Casazza","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne K.","family":"Maxwell","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christie","family":"Barnes","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Pate","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1657-2671","authenticated-orcid":false,"given":"Cindy M.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mithun G.","family":"Sattur","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.10.065"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2017.31.4487"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.75"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000001131"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0000000000000603"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/tjo.tjo_69_20"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26612"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1227\/neu.0000000000002718"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/03331024231161323"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22660"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.414"},{"key":"e_1_3_3_13_2","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Br Med J. 2021: n71. DOI: https:\/\/doi.org\/10.1136\/bmj.n71.","journal-title":"Br Med J"},{"key":"e_1_3_3_14_2","unstructured":"Wells GA Shea B O\u2019Connell D. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp. (2000)."},{"key":"e_1_3_3_15_2","unstructured":"Heart N Lung Institute B. Quality assessment tool for case series studies https:\/\/www.nhlbi.nih.gov\/health-topics\/study-quality-assessment-tools."},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3182a55f17"},{"key":"e_1_3_3_17_2","volume-title":"In: Cochrane Handbook for Systematic Reviews of Interventions version 6.5","author":"Deeks JJ","year":"2024","unstructured":"Deeks JJ, Higgins JPT, Altman DG, et al. Chapter 10: Analysing data and undertaking meta-analyses (last updated November 2024). In: Higgins JPT, Thomas J, Chandler J, et al (eds) In: Cochrane Handbook for Systematic Reviews of Interventions version 6.5. Cochrane, http:\/\/www.training.cochrane.org\/handbook (2024)."},{"key":"e_1_3_3_18_2","doi-asserted-by":"crossref","unstructured":"Wang N Conducting Meta-analyses of Proportions in R. Journal of Behavioral Data Science 2023; 3: 64\u2013126.","DOI":"10.35566\/jbds\/v3n2\/wang"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2021.05.008"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.06.087"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.3171\/2021.5.JNS21894"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.3171\/2021.7.JNS211427"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.3109\/02688690309177979"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-019-02251-8"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-023-05680-w"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neucir.2023.02.001"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/1945892420932490"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2024.122948"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-014172"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2020-016124"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.5603\/pjnns.98054"},{"key":"e_1_3_3_32_2","article-title":"An elusive diagnosis: delays in treatment and opportunities for improvement in temporal encephalocele and CSF leak","volume":"3","author":"Curry SD","year":"2023","unstructured":"Curry SD, McCorkle CE, Hatch JL, et al. An elusive diagnosis: delays in treatment and opportunities for improvement in temporal encephalocele and CSF leak. Otol Neurotol Open 2023; 3: e026.","journal-title":"Otol Neurotol Open"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199241311626","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15910199241311626","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199241311626","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T04:46:56Z","timestamp":1786164416000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15910199241311626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,6]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/15910199241311626"],"URL":"https:\/\/doi.org\/10.1177\/15910199241311626","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,6]]}}}