ARISE II Consensus on Venous Sinus Stenting

In recent years, venous sinus stenosis has been shown to be a key underlying contributor to idiopathic intracranial hypertensions (IIH) and the most common cause of pulsatile tinnitus (PT). Recent advancements in noninvasive venous imaging have improved the detection of venous sinus stenosis in IIH patients, and growing evidence supports a pathophysiological relationship between venous sinus stenosis, reduced...

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Audiologists identifying patients with pulsatile tinnitus should ensure prompt medical referral for vascular and neuroimaging workup, as this consensus document elevates venous sinus stenosis as the leading treatable cause — strengthening the case for a structured referral pathway.

Establishing expert consensus on venous sinus stenting as a treatment pathway for pulsatile tinnitus caused by venous sinus stenosis gives audiologists and ENTs a clearer framework for triaging and referring this distinct, often underdiagnosed patient population.

1. 01ARISE II consensus identifies venous sinus stenosis as the most common cause of pulsatile tinnitus.
2. 02Provides consensus guidance on venous sinus stenting indications and technique for idiopathic intracranial hypertension.
3. 03Published in AJNR (American Journal of Neuroradiology).
4. 04Pulsatile tinnitus workup should include venous imaging to rule out stenosis.
5. 05Consensus documents like this help align multidisciplinary teams (audiology, neurology, neuroradiology) on management.

PMID

42532674

DOI

10.3174/ajnr.A9560.

Journal

American Journal of Neuroradiology

Publication type

editorial

Evidence level

5

Population

Patients with idiopathic intracranial hypertension and pulsatile tinnitus secondary to venous sinus stenosis

Intervention

Venous sinus stenting