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Endovascular treatm...
Endovascular treatment of cerebral sinus thrombosis due to vaccine-induced immune thrombotic thrombocytopenia
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Weller, Johannes (author)
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Krzywicka, Katarzyna (author)
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van de Munckhof, Anita (author)
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Dorn, Franziska (author)
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Althaus, Katharina (author)
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Bode, Felix J. (author)
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di Poggio, Monica Bandettini (author)
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Buck, Brian (author)
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Kleinig, Timothy (author)
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Cordonnier, Charlotte (author)
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Dizonno, Vanessa (author)
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Duan, Jiangang (author)
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Elkady, Ahmed (author)
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Chew, Beng Lim Alvin (author)
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Garcia-Esperon, Carlos (author)
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Field, Thalia S. (author)
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Legault, Catherine (author)
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Martin, Mar Morin (author)
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Michalski, Dominik (author)
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Pelz, Johann (author)
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Schoenenberger, Silvia (author)
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Nagel, Simon (author)
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Petruzzellis, Marco (author)
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Raposo, Nicolas (author)
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Skjelland, Mona (author)
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Zimatore, Domenico Sergio (author)
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Aaron, Sanjith (author)
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van Kammen, Mayte Sanchez (author)
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de Sousa, Diana Aguiar (author)
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- Lindgren, Erik, 1993 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
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- Jood, Katarina, 1966 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
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Scutelnic, Adrian (author)
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Heldner, Mirjam R. (author)
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Poli, Sven (author)
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Arauz, Antonio (author)
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Conforto, Adriana B. (author)
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Putaala, Jukka (author)
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- Tatlisumak, Turgut (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
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Arnold, Marcel (author)
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Coutinho, Jonathan M. (author)
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Guenther, Albrecht (author)
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Zimmermann, Julian (author)
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Ferro, Jose M. (author)
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(creator_code:org_t)
- 2024
- 2024
- English.
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In: EUROPEAN STROKE JOURNAL. - 2396-9873 .- 2396-9881. ; 9:1, s. 105-113
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Introduction: There is little data on the role of endovascular treatment (EVT) of cerebral venous sinus thrombosis (CVST) due to vaccine-induced immune thrombotic thrombocytopenia (VITT). Here, we describe clinical characteristics and outcomes of CVST-VITT patients who were treated with EVT. Patients and methods: We report data from an international registry of patients who developed CVST within 28 days of SARS-CoV-2 vaccination, reported between 29 March 2021 and 6 March 2023. VITT was defined according to the Pavord criteria. Results: EVT was performed in 18/136 (13%) patients with CVST-VITT (92% aspiration and/or stent retrieval, 8% local thrombolysis). Most common indications were extensive thrombosis and clinical or radiological deterioration. Compared to non-EVT patients, those receiving EVT had a higher median thrombus load (4.5 vs 3). Following EVT, local blood flow was improved in 83% (10/12, 95% confidence interval [CI] 54-96). One (6%) asymptomatic sinus perforation occurred. Eight (44%) patients treated with EVT also underwent decompressive surgery. Mortality was 50% (9/18, 95% CI 29-71) and 88% (8/9, 95% CI 25-66) of surviving EVT patients achieved functional independence with a modified Rankin Scale score of 0-2 at follow-up. In multivariable analysis, EVT was not associated with increased mortality (adjusted odds ratio, 0.66, 95% CI 0.16-2.58). Discussion and conclusion: We describe the largest cohort of CVST-VITT patients receiving EVT. Half of the patients receiving EVT died during hospital admission, but most survivors achieved functional independence.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
Keyword
- Intracranial thrombosis
- thrombectomy
- thrombocytopenia
- vaccination
- venous thrombosis
- COVID-19
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Weller, Johannes
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Krzywicka, Katar ...
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van de Munckhof, ...
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Dorn, Franziska
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Althaus, Kathari ...
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Bode, Felix J.
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show more...
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di Poggio, Monic ...
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Buck, Brian
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Kleinig, Timothy
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Cordonnier, Char ...
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Dizonno, Vanessa
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Duan, Jiangang
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Elkady, Ahmed
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Chew, Beng Lim A ...
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Garcia-Esperon, ...
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Field, Thalia S.
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Legault, Catheri ...
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Martin, Mar Mori ...
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Michalski, Domin ...
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Pelz, Johann
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Schoenenberger, ...
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Nagel, Simon
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Petruzzellis, Ma ...
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Raposo, Nicolas
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Skjelland, Mona
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Zimatore, Domeni ...
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Aaron, Sanjith
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van Kammen, Mayt ...
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de Sousa, Diana ...
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Lindgren, Erik, ...
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Jood, Katarina, ...
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Scutelnic, Adria ...
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Heldner, Mirjam ...
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Poli, Sven
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Arauz, Antonio
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Conforto, Adrian ...
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Putaala, Jukka
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Tatlisumak, Turg ...
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Arnold, Marcel
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Coutinho, Jonath ...
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Guenther, Albrec ...
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Zimmermann, Juli ...
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Ferro, Jose M.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Neurosciences
- Articles in the publication
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EUROPEAN STROKE ...
- By the university
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University of Gothenburg