Venous sinus stenting versus ventriculoperitoneal shunting for idiopathic intracranial hypertension: propensity score weighted, cost consequence analysis

While initial costs and clinical outcomes were similar, VPS was associated with higher complication rates, more revision related reoperations, and greater short term healthcare utilization. These findings suggest that VSS may provide a safer and more cost effective approach for patients with IIH who have failed medical therapy.

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Publication Details

Journal
Journal of NeuroInterventional Surgery
Published
2026-03-04
DOI
https://doi.org/10.1136/jnis-2025-024875
Primary Topic
Cerebral Venous Sinus Thrombosis
Type
article
Field-Weighted Citation Impact
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article

Venous sinus stenting versus ventriculoperitoneal shunting for idiopathic intracranial hypertension: propensity score weighted, cost consequence analysis

E Atallah, Wi Jin Kim, Michael Anthony Rizzuto, Robert H. Rosenwasser et al.
Journal of NeuroInterventional Surgery
Cerebral Venous Sinus Thrombosis
article

Venous sinus stenting versus ventriculoperitoneal shunting for idiopathic intracranial hypertension: propensity score weighted, cost consequence analysis

E Atallah, Wi Jin Kim, Michael Anthony Rizzuto, Robert H. Rosenwasser, Arbaz A. Momin, Victor Gabriel El-Hajj, Nathaniel R. Ellens, Joanna M. Roy, Rabab Alshahrani, Basel Musmar, Nassos Tziviskos, M Reid Gooch, Stavropoula I Tjoumakaris, Pascal Jabbour
article en

Abstract

While initial costs and clinical outcomes were similar, VPS was associated with higher complication rates, more revision related reoperations, and greater short term healthcare utilization. These findings suggest that VSS may provide a safer and more cost effective approach for patients with IIH who have failed medical therapy.

Journal of NeuroInterventional Surgery
Thomas Jefferson University Hospital (US), Trillium Health Centre (CA), Rowan University (US)
Openalex Percentile: Top 40%
Cerebral Venous Sinus Thrombosis
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