This　study　aimed　to　investigate　the　effect　of　the　transverse　sinus　(TS)　stenosis　(TSS)　position　caused　by　arachnoid　granulation　on　patients　with　venous　pulsatile　tinnitus　(VPT)　and　to　further　identify　the　types　of　TSS　that　are　of　therapeutic　significance　for　patients.　Multiphysics　interaction　models　of　six　patients　with　moderate　TSS　caused　by　arachnoid　granulation　and　virtual　stent　placement　in　TSS　were　reconstructed,　including　three　patients　with　TSS　located　in　the　middle　segment　of　the　TS　(group　1)　and　three　patients　with　TTS　in　the　middle　and　proximal　involvement　segment　of　the　TS　(group　2).　The　transient　multiphysics　interaction　simulation　method　was　applied　to　elucidate　the　differences　in　biomechanical　and　acoustic　parameters　between　the　two　groups.　The　results　revealed　that　the　blood　flow　pattern　at　the　TS　and　sigmoid　sinus　junction　was　significantly　changed　depending　on　the　stenosis　position.　Preoperative　patients　had　increased　blood　flow　in　the　TSS　region　and　TSS　downstream　where　the　blood　flow　impacted　the　vessel　wall.　In　group　1,　the　postoperative　blood　flow　pattern,　average　wall　pressure,　vessel　wall　vibration,　and　sound　pressure　level　of　the　three　patients　were　comparable　to　the　preoperative　state.　However,　the　postoperative　blood　flow　velocity　decreased　in　group　2.　The　postoperative　average　wall　pressure,　vessel　wall　vibration,　and　sound　pressure　level　of　the　three　patients　were　significantly　improved　compared　with　the　preoperative　state.　Intravascular　intervention　therapy　should　be　considered　for　patients　with　moderate　TSS　caused　by　arachnoid　granulations　in　the　middle　and　proximal　involvement　segment　of　the　TS.　TSS　might　not　be　considered　the　cause　of　VPT　symptoms　in　patients　with　moderate　TSS　caused　by　arachnoid　granulation　in　the　middle　segment　of　the　TS.