Research summary, original research, 2026

Radiation exposure during transvenous embolization of cerebrospinal fluid venous fistulae: determinants, benchmarks, and mitigation strategies

Orru E, Ryu B, Krings T, Pace J, Patel NV. Journal of neurointerventional surgery. 2026

Read the original paper

In plain language

In 52 transvenous embolizations for CSF-venous fistula at one center, patient reference air kerma exceeded 3 Gy in over half, driven mainly by lateral-plane use and case complexity. Staff dose was not measured.

At a glance

Type of study
Original research, Retrospective cohort study
Who was studied
Patients
Size
n = 52 procedures
Summary based on
the abstract

What it found

  • Median patient dose indices for transvenous CVF embolization were high.

    Key figures: Median kerma-area product (KAP) 288.3 Gy·cm²; median Ka,r 3.29 Gy

  • Local reference levels (75th percentile) were derived for all procedures and for single-level cases.

    Key figures: Diagnostic reference levels (DRLs) KAP 515.7 Gy·cm², Ka,r 4.76 Gy; single-level Ka,r 3.23 Gy

  • More than half of procedures exceeded 3 Gy reference air kerma.

    Key figures: 28/52 (53.8%)

  • Dose accrued mainly on the lateral plane and rose with body mass index (BMI), number of levels, and navigation/injection times; cone-beam computed tomography (CBCT) was not associated with higher dose.

  • No radiation skin injury was documented at follow-up.

Limits to keep in mind

Single-center retrospective study of 52 procedures measuring patient dose indices only; no staff dosimetry, and proposed mitigation strategies were not tested.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.