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

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Scutelnic, AdrianDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland (författare)

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

Artikel/kapitelEngelska2022

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2022-07-04
Wiley,2022

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LIBRIS-ID:oai:gup.ub.gu.se/325556
https://gup.ub.gu.se/publication/325556URI
https://doi.org/10.1002/ana.26431DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198052URI

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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 och genrebeteckningar

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
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

Biuppslag (personer, institutioner, konferenser, titlar ...)

Krzywicka, KatarzynaDepartment of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands (författare)
Mbroh, JoshuaHertie Institute for Clinical Brain Research, Eberhard-Karls University, Tuebingen, Germany; Department of Neurology & Stroke, Eberhard-Karls University, Tuebingen, Germany (författare)
van de Munckhof, AnitaDepartment of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands (författare)
van Kammen, Mayte SánchezDepartment of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands (författare)
de Sousa, Diana AguiarCEEM and Institute of Anatomy, Faculty of Medicine, University of Lisbon, Lisbon, Portugal (författare)
Lindgren, Erik,1993Gothenburg 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(Swepub:gu)xliere (författare)
Jood, Katarina,1966Gothenburg 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(Swepub:gu)xjooka (författare)
Günther, AlbrechtDepartment of Neurology, Jena University Hospital, Jena, Germany (författare)
Hiltunen, SiniDepartment of Neurology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland (författare)
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Tiede, AndreasClinic for Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany (författare)
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Aujayeb, AvinashRespiratory 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 (författare)
Raposo, NicolasDepartment of Neurology, Toulouse University Hospital, Toulouse, France (författare)
Garambois, KatiaStroke Unit, University Hospital of Grenoble, Grenoble, France (författare)
Payen, Jean-FrancoisStroke Unit, University Hospital of Grenoble, Grenoble, France (författare)
Vuillier, FabriceStroke Unit, University Hospital of Besancon, Besancon, France (författare)
Franchineau, GuillaumeDepartment of Intensive Care, Centre Hospitalier Intercommunal de Poissy Saint Germain en Laye, Poissy, France (författare)
Timsit, SergeNeurology and Stroke Unit, Centre Hospitalier Universitaire de Brest, CHU Brest, Brest, France (författare)
Bougon, DavidDepartment of Critical Care, Annecy Genevois Hospital, Annecy, France (författare)
Dubois, Marie-CécileDepartment of Anesthesia and Intensive Care, University Hospital of Poitiers, Poitiers, France (författare)
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Tracol, ClementDepartment of Neurology, CHU Rennes, Rennes, France (författare)
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Michalski, DominikDepartment of Neurology, Leipzig University Hospital, Leipzig, Germany (författare)
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Wittstock, MatthiasDepartment of Neurology, University Hospital Rostock, Rostock, Germany (författare)
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Palma, VincenzoDepartment of Neuroradiology, Ospedale del Mare, Naples, Italy (författare)
Negro, AlbertoDepartment of Neuroradiology, Ospedale del Mare, Naples, Italy (författare)
Gutschalk, AlexanderDepartment of Neurology, Heidelberg University Hospital, Heidelberg, Germany (författare)
Nagel, SimonDepartment of Neurology, Heidelberg University Hospital, Heidelberg, Germany (författare)
Schoenenberger, SilviaDepartment 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 (författare)
Frisullo, GiovanniDepartment of Neurology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy (författare)
Zanferrari, CarlaDepartment of Neurology, Azienda Ospedaliera di Melegnano e della Martesana, Melegnano, Italy (författare)
Grillo, FrancescoStroke Unit, Department of Clinical and Experimental Medicine, University Hospital G. Martino, Messina, Italy (författare)
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Cervera, AlvaroDepartment of Neurology, Royal Darwin Hospital, NT, Tiwi, Australia (författare)
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Esperon, Carlos GarciaDepartment of Neurology, John Hunter Hospital, NSW, Newcastle, Australia (författare)
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Zimatore, Domenico S (författare)
Petruzzellis, MarcoDepartment of Neurology, AOU Consorziale Policlinico di Bari, Bari, Italy (författare)
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Bal, SimerpreetDepartment of Clinical Neurosciences, Radiology, and Community Health Sciences, Foothills Medical Centre, AB, Calgary, Canada (författare)
Buck, Brian (författare)
Legault, CatherineDepartment of Neurology and Neurosurgery, McGill University Health Centre, QC, Montreal, Canada (författare)
Blacquiere, DylanDivision of Neurology, The Ottawa Hospital, ON, Ottawa, Canada (författare)
Katzberg, Hans DDepartment of Neuromuscular Medicine, Toronto General Hospital, ON, Toronto, Canada (författare)
Field, Thalia S (författare)
Dizonno, VanessaDivision of Neurology, University of British Columbia, Vancouver Stroke Program, BC, Vancouver, Canada (författare)
Gattringer, ThomasDepartment of Neurology, Medical University of Graz, Graz, Austria (författare)
Jacobi, ChristianDepartment of Neurology, Nordwest Hospital, Frankfurt am Main, Germany (författare)
Devroye, AnnemieDepartment of Neurology, University Hospitals Leuven, Leuven, Belgium (författare)
Lemmens, RobinDepartment of Neurology, University Hospitals Leuven, Leuven, Belgium (författare)
Kristoffersen, Espen SaxhaugDepartment of Neurology, Akershus University Hospital, Lørenskog, Norway (författare)
di Poggio, Monica BandettiniDepartment of Neuroscience, Policlinic San Martino Hospital, Genoa, Italy (författare)
Ghiasian, MasoudDepartment of Neurology, Sina Hospital, Hamadan University of Medical Science, Hamadan, Iran (författare)
Karapanayiotides, TheodorosDepartment of Neurology, AHEPA University Hospital, Thessaloniki, Greece (författare)
Chatterton, SophieDepartment of Neurology, St. Vincent's Hospital, NSW, Sydney, Australia (författare)
Wronski, MiriamRoyal North Shore Hospital, NSW, Sydney, Australia (författare)
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van de Beek, DiederikDepartment of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands (författare)
Brodard, JustineDepartment of Hematology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland (författare)
Kremer Hovinga, Johanna A (författare)
Kruip, Marieke J H A (författare)
Tatlisumak, TurgutDepartment of Neurology & Stroke, Eberhard-Karls University, Tuebingen, Germany (författare)
Ferro, José M (författare)
Coutinho, Jonathan M (författare)
Arnold, MarcelDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland (författare)
Poli, SvenHertie Institute for Clinical Brain Research, Eberhard-Karls University, Tuebingen, Germany; Department of Neurology & Stroke, Eberhard-Karls University, Tuebingen, Germany (författare)
Heldner, Mirjam RDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland (författare)
Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands (creator_code:org_t)

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Ingår i:Annals of neurology: Wiley92:4, s. 562-5731531-82490364-5134

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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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