Outcomes of cerebral venous thrombosis due to vaccine-induced immune thrombotic thrombocytopenia after the acute phase

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Outcomes of cerebral venous thrombosis due to vaccine-induced immune thrombotic thrombocytopenia after the acute phase

Van De Munckhof, Anita (författare): Department of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Netherlands

Lindgren, Erik (författare): Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden

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

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Field, Thalia S. (författare): Division of Neurology, Vancouver Stroke Program, University of British Columbia, Vancouver, Canada

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

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

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

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

Borhani-Haghighi, Afshin (författare): Clinical Neurology Research Center, Shiraz University of Medical Sciences, Iran

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

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

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

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

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

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

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

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

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

Cervera, Alvaro (författare): Royal Darwin Hospital, NT, Darwin, Australia

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

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

Buck, Brian (författare): Division of Neurology, University of Alberta Hospital, Edmonton, Canada

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

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

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

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

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

Zamani, Zohreh (författare): Department of Neurology, Firoozabadi Hospital, Firoozgar Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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

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

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

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

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

Caparros, François (författare): University Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience and Cognition, France

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

Tsivgoulis, Georgios (författare): Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, Greece

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

Duan, Jiangang (författare): Department of Neurology and Emergency, Xuanwu Hospital, Capital Medical University, Beijing, China

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

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

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

Oen, Joyce (författare): Department of Neurology, Antonius Ziekenhuis, Sneek, Netherlands

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

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

Ng, Karl (författare): Department of Neurology, Royal North Shore Hospital, Sydney, Australia

Garambois, Katia (författare): Department of Neurology, CHU Grenoble Alpes, France

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

Carvalho Dias, Mariana (författare): Department of Neurosciences and Mental Health, Hospital de Santa Maria, Centro Hospitalar Universitario Lisboa Norte, University of Lisbon, Portugal

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

Romoli, Michele (författare): Neurology and Stroke Unit, Department of Neuroscience, Bufalini Hospital, Cesena, Italy

Miranda, Miguel (författare): Department of Neurology, Hospital de Cascais Dr. José de Almeida, Cascais, Portugal

Wronski, Miriam (författare): Department of Neurology, Royal North Shore Hospital, Sydney, Australia

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

Almasi-Dooghaee, Mostafa (författare): Department of Neurology, Firoozgar Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Cuisenier, Pauline (författare): Department of Neurology, CHU Grenoble Alpes, France

Murphy, Seán (författare): Acute Stroke Service, Mater Misericordiae University Hospital, UCD School of Medicine, RCSI Medical School, Dublin, Ireland

Timsit, Serge (författare): Department of Neurology, Stroke Unit, Hôpital de la Cavale Blanche, CHRU de Brest (University Hospital), Université de Bretagne Occidentale, Inserm 1078, Brest, France

Coutts, Shelagh B. (författare): Department of Clinical Neurosciences Radiology and Community Health Sciences, Foothills Medical Centre, Calgary, Canada

Schönenberger, Silvia (författare): Department of Neurology, Heidelberg University Hospital, Germany

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

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

Chatterton, Sophie (författare): Department of Neurology, Royal North Shore Hospital, Sydney, Australia

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

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

Shaygannejad, Vahid (författare): Isfahan University of Medical Sciences (IUMS), Isfahan Neurosciences Research Center (INRC), Iran

Mirzaasgari, Zahra (författare): Department of Neurology, Firoozgar Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

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

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

Kremer Hovinga, Johanna A. (författare): Department of Hematology, Inselspital, Bern University Hospital, University of Bern, Switzerland

Jood, Katarina (författare): Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden

Tatlisumak, Turgut (författare): Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden; Department of Neurology, Helsinki University Hospital, University of Helsinki, Finland

Putaala, Jukka (författare): Department of Neurology, AOU Consorziale Policlinico di Bari, Italy

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

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

Aguiar De Sousa, Diana (författare): Stroke Centre, Lisbon Central University, Hospital Centre, Portugal; Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, Portugal

Ferro, José M. (författare): Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, Portugal

Coutinho, Jonathan M. (författare): Department of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Netherlands

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(creator_code:org_t)

American Heart Association, 2022
2022
Engelska.
Ingår i: Stroke. - : American Heart Association. - 0039-2499 .- 1524-4628. ; 53:10, s. 3206-3210

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://urn.kb.se/re...; https://doi.org/10.1...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

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Background: Cerebral venous thrombosis (CVT) due to vaccine-induced immune thrombotic thrombocytopenia (VITT) is a severe condition, with high in-hospital mortality rates. Here, we report clinical outcomes of patients with CVT-VITT after SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination who survived initial hospitalization.Methods: We used data from an international registry of patients who developed CVT within 28 days of SARS-CoV-2 vaccination, collected until February 10, 2022. VITT diagnosis was classified based on the Pavord criteria. Outcomes were mortality, functional independence (modified Rankin Scale score 0-2), VITT relapse, new thrombosis, and bleeding events (all after discharge from initial hospitalization).Results: Of 107 CVT-VITT cases, 43 (40%) died during initial hospitalization. Of the remaining 64 patients, follow-up data were available for 60 (94%) patients (37 definite VITT, 9 probable VITT, and 14 possible VITT). Median age was 40 years and 45/60 (75%) patients were women. Median follow-up time was 150 days (interquartile range, 94-194). Two patients died during follow-up (3% [95% CI, 1%-11%). Functional independence was achieved by 53/60 (88% [95% CI, 78%-94%]) patients. No new venous or arterial thrombotic events were reported. One patient developed a major bleeding during follow-up (fatal intracerebral bleed).Conclusions: In contrast to the high mortality of CVT-VITT in the acute phase, mortality among patients who survived the initial hospitalization was low, new thrombotic events did not occur, and bleeding events were rare. Approximately 9 out of 10 CVT-VITT patients who survived the acute phase were functionally independent at follow-up.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Hematologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Hematology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)

Nyckelord

hospitalization
intracranial thrombosis
mortality
thrombocytopenia
vaccination
venous thrombosis
Neurology
neurologi

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Av författaren/redakt...: Van De Munckhof, ...; Lindgren, Erik; Kleinig, Timothy ...; Field, Thalia S.; Cordonnier, Char ...; Krzywicka, Katar ...; visa fler...; Poli, Sven; Sánchez Van Kamm ...; Borhani-Haghighi ...; Lemmens, Robin; Scutelnic, Adria ...; Ciccone, Alfonso; Gattringer, Thom ...; Wittstock, Matth ...; Dizonno, Vanessa; Devroye, Annemie; Elkady, Ahmed; Günther, Albrech ...; Cervera, Alvaro; Mengel, Annerose; Chew, Beng Lim A ...; Buck, Brian; Zanferrari, Carl ...; Garcia-Esperon, ...; Jacobi, Christia ...; Soriano, Cristin ...; Michalski, Domin ...; Zamani, Zohreh; Blacquiere, Dyla ...; Johansson, Elias; Cuadrado-Godia, ...; Vuillier, Fabric ...; Bode, Felix J.; Caparros, Franço ...; Maier, Frank; Tsivgoulis, Geor ...; Katzberg, Hans D ...; Duan, Jiangang; Burrow, Jim; Pelz, Johann; Mbroh, Joshua; Oen, Joyce; Schouten, Judith; Zimmermann, Juli ...; Ng, Karl; Garambois, Katia; Petruzzellis, Ma ...; Carvalho Dias, M ...; Ghiasian, Masoud; Romoli, Michele; Miranda, Miguel; Wronski, Miriam; Skjelland, Mona; Almasi-Dooghaee, ...; Cuisenier, Pauli ...; Murphy, Seán; Timsit, Serge; Coutts, Shelagh ...; Schönenberger, S ...; Nagel, Simon; Hiltunen, Sini; Chatterton, Soph ...; Cox, Thomas; Bartsch, Thorste ...; Shaygannejad, Va ...; Mirzaasgari, Zah ...; Middeldorp, Sask ...; Levi, Marcel M.; Kremer Hovinga, ...; Jood, Katarina; Tatlisumak, Turg ...; Putaala, Jukka; Heldner, Mirjam ...; Arnold, Marcel; Aguiar De Sousa, ...; Ferro, José M.; Coutinho, Jonath ...; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Hematologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

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Av lärosätet: Umeå universitet

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