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Cerebral venography remains an important tool in neurovascular practice despite the increasing reliance on non-invasive imaging modalities such as CT and MR venography. While catheter venography is no longer the primary diagnostic method for cerebrovenous disorders, its role has evolved alongside the expanding indications for intracranial venous interventions. This work explores the indications, technical considerations, and clinical utility of catheter venography and venous manometry in the evaluation and management of cerebrovenous diseases. It highlights the evolving role of venous interventions in neurointerventional practice and provides insights into optimizing procedural outcomes.