Management of Cerebral Venous Thrombosis Due to Adenoviral COVID-19 Vaccination.

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Management of Cerebral Venous Thrombosis Due to Adenoviral COVID-19 Vaccination.

Scutelnic, Adrian (författare): Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

Krzywicka, Katarzyna (författare): Department of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands

Mbroh, Joshua (författare): Hertie Institute for Clinical Brain Research, Eberhard-Karls University, Tuebingen, Germany; Department of Neurology & Stroke, Eberhard-Karls University, Tuebingen, Germany

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van de Munckhof, Anita (författare): Department of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands

van Kammen, Mayte Sánchez (författare): Department of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands

de Sousa, Diana Aguiar (författare): CEEM and Institute of Anatomy, Faculty of Medicine, University of Lisbon, Lisbon, Portugal

Lindgren, Erik, 1993 (författare): Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Gothenburg, Sweden

Jood, Katarina, 1966 (författare): Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Gothenburg, Sweden

Günther, Albrecht (författare): Department of Neurology, Jena University Hospital, Jena, Germany

Hiltunen, Sini (författare): Department of Neurology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland

Putaala, Jukka (författare): Department of Neurology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland

Tiede, Andreas (författare): Clinic for Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany

Maier, Frank (författare): Department of Neurology, Caritas Hospital Saarbrücken, Saarbrücken, Germany

Kern, Rolf (författare): Department of Neurology, Kempten Hospital, Kempten, Germany

Bartsch, Thorsten (författare): Department of Neurology, University Medical Center Schleswig-Holstein, Kiel, Germany

Althaus, Katharina (författare): Department of Neurology, Ulm University Hospital, Ulm, Germany

Ciccone, Alfonso (författare): Department of Neurology, Carlo Poma Hospital, Azienda Socio Sanitaria Territoriale di Mantova, Mantua, Italy

Wiedmann, Markus (författare): Department of Neurosurgery, Oslo University Hospital, Oslo, Norway

Skjelland, Mona (författare): Department of Neurosurgery, Oslo University Hospital, Oslo, Norway

Medina, Antonio (författare): Department of Neurology, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain

Cuadrado-Godia, Elisa (författare): Department of Neurology, University Hospital del Mar, Barcelona, Spain

Cox, Thomas (författare): Department of Neurology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom

Aujayeb, Avinash (författare): Respiratory Department, Northumbria Healthcare NHS Foundation Trust, Cramlington, United Kingdom,Department of Hematology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland,Department of Hematology, Erasmus University Medical Center, Rotterdam, Netherlands

Raposo, Nicolas (författare): Department of Neurology, Toulouse University Hospital, Toulouse, France

Garambois, Katia (författare): Stroke Unit, University Hospital of Grenoble, Grenoble, France

Payen, Jean-Francois (författare): Stroke Unit, University Hospital of Grenoble, Grenoble, France

Vuillier, Fabrice (författare): Stroke Unit, University Hospital of Besancon, Besancon, France

Franchineau, Guillaume (författare): Department of Intensive Care, Centre Hospitalier Intercommunal de Poissy Saint Germain en Laye, Poissy, France

Timsit, Serge (författare): Neurology and Stroke Unit, Centre Hospitalier Universitaire de Brest, CHU Brest, Brest, France

Bougon, David (författare): Department of Critical Care, Annecy Genevois Hospital, Annecy, France

Dubois, Marie-Cécile (författare): Department of Anesthesia and Intensive Care, University Hospital of Poitiers, Poitiers, France

Tawa, Audrey (författare): Department of Anesthesia and Intensive Care, University Hospital of Rennes, Rennes, France

Tracol, Clement (författare): Department of Neurology, CHU Rennes, Rennes, France

De Maistre, Emmanuel (författare): Department of Biological Haematology, CHU Dijon, Dijon, France

Bonneville, Fabrice (författare): Department of Neuroradiology, Toulouse University Hospital, Toulouse, France

Vayne, Caroline (författare): Department of Hematology and Hemostasis, Tours University Hospital, Tours, France

Mengel, Annerose (författare): Department of Neurology and Stroke, Eberhard-Karls University, Tuebingen, Germany

Michalski, Dominik (författare): Department of Neurology, Leipzig University Hospital, Leipzig, Germany

Pelz, Johann (författare): Department of Neurology, Leipzig University Hospital, Leipzig, Germany

Wittstock, Matthias (författare): Department of Neurology, University Hospital Rostock, Rostock, Germany

Bode, Felix (författare): Department of Neurology, Universitätsklinikum Bonn, Bonn, Germany

Zimmermann, Julian (författare): Department of Neurology, Universitätsklinikum Bonn, Bonn, Germany

Schouten, Judith (författare): Department of Neurology, Rijnstate Hospital Arnhem, Arnhem, Netherlands

Buture, Alina (författare): Acute Stroke Service, Mater Misericordiae University Hospital, Dublin, Ireland

Murphy, Sean (författare): Acute Stroke Service, Mater Misericordiae University Hospital, Dublin, Ireland

Palma, Vincenzo (författare): Department of Neuroradiology, Ospedale del Mare, Naples, Italy

Negro, Alberto (författare): Department of Neuroradiology, Ospedale del Mare, Naples, Italy

Gutschalk, Alexander (författare): Department of Neurology, Heidelberg University Hospital, Heidelberg, Germany

Nagel, Simon (författare): Department of Neurology, Heidelberg University Hospital, Heidelberg, Germany

Schoenenberger, Silvia (författare): Department of Neurology, Heidelberg University Hospital, Heidelberg, Germany,Department of Neuroradiology, Policlinico di Bari, Bari, Italy,Department of Neurology, Hospital de Cascais Dr José de Almeida, Cascais, Portugal,Division of Neurology, University of British Columbia, Vancouver Stroke Program, BC, Vancouver, Canada

Frisullo, Giovanni (författare): Department of Neurology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy

Zanferrari, Carla (författare): Department of Neurology, Azienda Ospedaliera di Melegnano e della Martesana, Melegnano, Italy

Grillo, Francesco (författare): Stroke Unit, Department of Clinical and Experimental Medicine, University Hospital G. Martino, Messina, Italy

Giammello, Fabrizio (författare): Translational Molecular Medicine and Surgery, XXXV Cycle, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy

Martin, Mar Morin (författare): Department of Neurology, Hospital Complex of Toledo, Toledo, Spain,Department of Viroscience, Erasmus Medical Center Rotterdam, Rotterdam, Netherlands,Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal,Department of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands

Cervera, Alvaro (författare): Department of Neurology, Royal Darwin Hospital, NT, Tiwi, Australia

Burrow, Jim (författare): Department of Neurology, Royal Darwin Hospital, NT, Tiwi, Australia

Esperon, Carlos Garcia (författare): Department of Neurology, John Hunter Hospital, NSW, Newcastle, Australia

Chew, Beng Lim Alvin (författare): Department of Neurology, John Hunter Hospital, NSW, Newcastle, Australia

Kleinig, Timothy J (författare): Department of Neurology, Royal Adelaide Hospital, SA, Adelaide, Australia

Soriano, Cristina (författare): Department of Neurology, Hospital General de Castellón, Castelló, Spain

Zimatore, Domenico S (författare)

Petruzzellis, Marco (författare): Department of Neurology, AOU Consorziale Policlinico di Bari, Bari, Italy

Elkady, Ahmed (författare): Department of Neurology, Saudi German Hospital, Jeddah, Saudi Arabia

Miranda, Miguel S (författare)

Fernandes, João (författare): Department of Neurology, Norra Älvsborgs Länssjukhus, Trollhättan, Sweden

Vogel, Åslög Hellström (författare): Department of Internal Medicine, Skåne University Hospital, Lund, Sweden

Johansson, Elias, 1984 (författare): Umeå universitet,Wallenberg centrum för molekylär medicin vid Umeå universitet (WCMM),Neurovetenskaper

Philip, Anemon Puthuppallil (författare): Department of Neurology, Hamilton General Hospital, ON, Hamilton, Canada

Coutts, Shelagh B (författare): Department of Clinical Neurosciences, Radiology, and Community Health Sciences, Foothills Medical Centre, AB, Calgary, Canada,Division of Neurology, University of Alberta Hospital, AB, Edmonton, Canada

Bal, Simerpreet (författare): Department of Clinical Neurosciences, Radiology, and Community Health Sciences, Foothills Medical Centre, AB, Calgary, Canada

Buck, Brian (författare)

Legault, Catherine (författare): Department of Neurology and Neurosurgery, McGill University Health Centre, QC, Montreal, Canada

Blacquiere, Dylan (författare): Division of Neurology, The Ottawa Hospital, ON, Ottawa, Canada

Katzberg, Hans D (författare): Department of Neuromuscular Medicine, Toronto General Hospital, ON, Toronto, Canada

Field, Thalia S (författare)

Dizonno, Vanessa (författare): Division of Neurology, University of British Columbia, Vancouver Stroke Program, BC, Vancouver, Canada

Gattringer, Thomas (författare): Department of Neurology, Medical University of Graz, Graz, Austria

Jacobi, Christian (författare): Department of Neurology, Nordwest Hospital, Frankfurt am Main, Germany

Devroye, Annemie (författare): Department of Neurology, University Hospitals Leuven, Leuven, Belgium

Lemmens, Robin (författare): Department of Neurology, University Hospitals Leuven, Leuven, Belgium

Kristoffersen, Espen Saxhaug (författare): Department of Neurology, Akershus University Hospital, Lørenskog, Norway

di Poggio, Monica Bandettini (författare): Department of Neuroscience, Policlinic San Martino Hospital, Genoa, Italy

Ghiasian, Masoud (författare): Department of Neurology, Sina Hospital, Hamadan University of Medical Science, Hamadan, Iran

Karapanayiotides, Theodoros (författare): Department of Neurology, AHEPA University Hospital, Thessaloniki, Greece

Chatterton, Sophie (författare): Department of Neurology, St. Vincent's Hospital, NSW, Sydney, Australia

Wronski, Miriam (författare): Royal North Shore Hospital, NSW, Sydney, Australia

Ng, Karl (författare): Department of Neurology and Clinical Neurophysiology, Royal North Shore Hospital and The University of Sydney, NSW, Sydney, Australia

Kahnis, Robert (författare): Department of Neurology, Vivantes Auguste-Viktoria-Klinikum, Berlin, Germany

Geeraerts, Thomas (författare): Department of Anaesthesiology and Critical Care, University Toulouse 3-Paul-Sabatier, University Hospital of Toulouse, Hôpital Pierre-Paul Riquet, CHU Toulouse-Purpan, Toulouse, France

Reiner, Peggy (författare): Service de neurologie, hôpital Lariboisière Université Paris-7, AP–HP, Paris Cedex 10, France

Cordonnier, Charlotte (författare): University of Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, Lille, France

Middeldorp, Saskia (författare): Department of Internal Medicine & Radboud Institute of Health Sciences (RIHS), Radboud University Medical Center, Nijmegen, Netherlands

Levi, Marcel (författare): National Institute for Health Research University College London Hospitals (UCLH) Biomedical Research Centre, London, United Kingdom; Department of Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands

van Gorp, Eric C M (författare)

van de Beek, Diederik (författare): Department of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands

Brodard, Justine (författare): Department of Hematology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

Kremer Hovinga, Johanna A (författare)

Kruip, Marieke J H A (författare)

Tatlisumak, Turgut (författare): Department of Neurology & Stroke, Eberhard-Karls University, Tuebingen, Germany

Ferro, José M (författare)

Coutinho, Jonathan M (författare)

Arnold, Marcel (författare): Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

Poli, Sven (författare): Hertie Institute for Clinical Brain Research, Eberhard-Karls University, Tuebingen, Germany; Department of Neurology & Stroke, Eberhard-Karls University, Tuebingen, Germany

Heldner, Mirjam R (författare): Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

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(creator_code:org_t)

2022-07-04
2022
Engelska.
Ingår i: Annals of neurology. - : Wiley. - 1531-8249 .- 0364-5134. ; 92:4, s. 562-573

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://umu.diva-por... (primary) (Raw object); https://gup.ub.gu.se...; https://doi.org/10.1...; https://urn.kb.se/re...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Cerebral venous thrombosis (CVT) caused by vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare adverse effect of adenovirus-based severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) vaccines. In March 2021, after autoimmune pathogenesis of VITT was discovered, treatment recommendations were developed. These comprised immunomodulation, non-heparin anticoagulants, and avoidance of platelet transfusion. The aim of this study was to evaluate adherence to these recommendations and its association with mortality.We used data from an international prospective registry of patients with CVT after the adenovirus-based SARS-CoV-2 vaccination. We analyzed possible, probable, or definite VITT-CVT cases included until January 18, 2022. Immunomodulation entailed administration of intravenous immunoglobulins and/or plasmapheresis.Ninety-nine patients with VITT-CVT from 71 hospitals in 17 countries were analyzed. Five of 38 (13%), 11 of 24 (46%), and 28 of 37 (76%) of the patients diagnosed in March, April, and from May onward, respectively, were treated in-line with VITT recommendations (p < 0.001). Overall, treatment according to recommendations had no statistically significant influence on mortality (14/44 [32%] vs 29/55 [52%], adjusted odds ratio [OR] = 0.43, 95% confidence interval [CI] = 0.16-1.19). However, patients who received immunomodulation had lower mortality (19/65 [29%] vs 24/34 [70%], adjusted OR = 0.19, 95% CI = 0.06-0.58). Treatment with non-heparin anticoagulants instead of heparins was not associated with lower mortality (17/51 [33%] vs 13/35 [37%], adjusted OR = 0.70, 95% CI = 0.24-2.04). Mortality was also not significantly influenced by platelet transfusion (17/27 [63%] vs 26/72 [36%], adjusted OR = 2.19, 95% CI = 0.74-6.54).In patients with VITT-CVT, adherence to VITT treatment recommendations improved over time. Immunomodulation seems crucial for reducing mortality of VITT-CVT. ANN NEUROL 2022;92:562-573.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Hematologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Hematology (hsv//eng)

Nyckelord

Adenoviridae
Anticoagulants
therapeutic use
COVID-19
COVID-19 Vaccines
adverse effects
Humans
Immunoglobulins
Intravenous
therapeutic use
Intracranial Thrombosis
SARS-CoV-2
Vaccination
adverse effects
Venous Thrombosis
complications

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Av författaren/redakt...: Scutelnic, Adria ...; Krzywicka, Katar ...; Mbroh, Joshua; van de Munckhof, ...; van Kammen, Mayt ...; de Sousa, Diana ...; visa fler...; Lindgren, Erik, ...; Jood, Katarina, ...; Günther, Albrech ...; Hiltunen, Sini; Putaala, Jukka; Tiede, Andreas; Maier, Frank; Kern, Rolf; Bartsch, Thorste ...; Althaus, Kathari ...; Ciccone, Alfonso; Wiedmann, Markus; Skjelland, Mona; Medina, Antonio; Cuadrado-Godia, ...; Cox, Thomas; Aujayeb, Avinash; Raposo, Nicolas; Garambois, Katia; Payen, Jean-Fran ...; Vuillier, Fabric ...; Franchineau, Gui ...; Timsit, Serge; Bougon, David; Dubois, Marie-Cé ...; Tawa, Audrey; Tracol, Clement; De Maistre, Emma ...; Bonneville, Fabr ...; Vayne, Caroline; Mengel, Annerose; Michalski, Domin ...; Pelz, Johann; Wittstock, Matth ...; Bode, Felix; Zimmermann, Juli ...; Schouten, Judith; Buture, Alina; Murphy, Sean; Palma, Vincenzo; Negro, Alberto; Gutschalk, Alexa ...; Nagel, Simon; Schoenenberger, ...; Frisullo, Giovan ...; Zanferrari, Carl ...; Grillo, Francesc ...; Giammello, Fabri ...; Martin, Mar Mori ...; Cervera, Alvaro; Burrow, Jim; Esperon, Carlos ...; Chew, Beng Lim A ...; Kleinig, Timothy ...; Soriano, Cristin ...; Zimatore, Domeni ...; Petruzzellis, Ma ...; Elkady, Ahmed; Miranda, Miguel ...; Fernandes, João; Vogel, Åslög Hel ...; Johansson, Elias ...; Philip, Anemon P ...; Coutts, Shelagh ...; Bal, Simerpreet; Buck, Brian; Legault, Catheri ...; Blacquiere, Dyla ...; Katzberg, Hans D; Field, Thalia S; Dizonno, Vanessa; Gattringer, Thom ...; Jacobi, Christia ...; Devroye, Annemie; Lemmens, Robin; Kristoffersen, E ...; di Poggio, Monic ...; Ghiasian, Masoud; Karapanayiotides ...; Chatterton, Soph ...; Wronski, Miriam; Ng, Karl; Kahnis, Robert; Geeraerts, Thoma ...; Reiner, Peggy; Cordonnier, Char ...; Middeldorp, Sask ...; Levi, Marcel; van Gorp, Eric C ...; van de Beek, Die ...; Brodard, Justine; Kremer Hovinga, ...; Kruip, Marieke J ...; Tatlisumak, Turg ...; Ferro, José M; Coutinho, Jonath ...; Arnold, Marcel; Poli, Sven; Heldner, Mirjam ...; visa färre...

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