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Endovascular treatm...
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Weller, Johannes
(author)
Endovascular treatment of cerebral sinus thrombosis due to vaccine-induced immune thrombotic thrombocytopenia
- Article/chapterEnglish2024
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LIBRIS-ID:oai:gup.ub.gu.se/335551
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https://gup.ub.gu.se/publication/335551URI
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https://doi.org/10.1177/23969873231202363DOI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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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.
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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
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Field, Thalia S.
(author)
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Legault, Catherine
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Martin, Mar Morin
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Michalski, Dominik
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Pelz, Johann
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Schoenenberger, Silvia
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Nagel, Simon
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Petruzzellis, Marco
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Raposo, Nicolas
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Skjelland, Mona
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Zimatore, Domenico Sergio
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Aaron, Sanjith
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van Kammen, Mayte Sanchez
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de Sousa, Diana Aguiar
(author)
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Lindgren, Erik,1993Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience(Swepub:gu)xliere
(author)
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Jood, Katarina,1966Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience(Swepub:gu)xjooka
(author)
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Scutelnic, Adrian
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Heldner, Mirjam R.
(author)
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Poli, Sven
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Arauz, Antonio
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Conforto, Adriana B.
(author)
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Putaala, Jukka
(author)
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Tatlisumak, TurgutGothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience(Swepub:gu)xtatlt
(author)
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Arnold, Marcel
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Coutinho, Jonathan M.
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Guenther, Albrecht
(author)
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Zimmermann, Julian
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Ferro, Jose M.
(author)
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Göteborgs universitetInstitutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap
(creator_code:org_t)
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In:EUROPEAN STROKE JOURNAL9:1, s. 105-1132396-98732396-9881
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Weller, Johannes
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Dorn, Franziska
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