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논문 기본 정보

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학술저널
저자정보
Setareh Salehi Omran (Department of Neurology University of Colorado School of Medicine Aurora CO USA) Liqi Shu (Department of Neurology Warren Alpert School of Medicine at Brown University Providence RI USA) Allison Chang (Department of Neurology Warren Alpert School of Medicine at Brown University Providence RI USA) Neal S. Parikh (Clinical and Translational Neuroscience Unit Department of Neurology Feil Family Brain and Mind Research Institute Weill Cornell Medicine New York NY USA) Adeel S. Zubair (Department of Neurology Yale University School of Medicine New Haven CT USA) Alexis N. Simpkins (Department of Neurology University of Florida Gainesville FL USA) Mirjam R. Heldner (Department of Neurology and Stroke Research Center Bern University of Bern and University Hospital Bern Bern Switzerland) Arsany Hakim (University Institute of Diagnostic and Interventional Neuroradiology Bern University Hospital Inselspital Bern Switzerland) Sami Al Kasab (Department of Neurology Medical University of South Carolina Charleston SC USA) Thanh Nguyen (Department of Neurology Boston Medical Center Boston University School of Medicine Boston MA USA) Piers Klein (Department of Neurology Boston Medical Center Boston University School of Medicine Boston MA USA) Eric D. Goldstein (Department of Neurology Warren Alpert School of Medicine at Brown University Providence RI USA) Maria Cristina Vedovati (Department of Medicine and Surgery University of Perugia Perugia Italy) Maurizio Paciaroni (Neurology–Stroke Unit IRCCS MultiMedica Milano Italy) David S. Liebeskind (Department of Neurology University of California Los Angeles Los Angeles CA USA) Shadi Yaghi (Department of Neurology Warren Alpert School of Medicine at Brown University Providence RI USA) Shawna Cutting (Department of Neurology Warren Alpert School of Medicine at Brown University Providence RI USA)
저널정보
대한뇌졸중학회 대한뇌졸중학회지 대한뇌졸중영문학회지 제25권 제2호
발행연도
2023.5
수록면
291 - 298 (8page)
DOI
10.5853/jos.2023.00213

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Background and Purpose Vessel recanalization after cerebral venous thrombosis (CVT) is associated with favorable outcomes and lower mortality. Several studies examined the timing and predictors of recanalization after CVT with mixed results. We aimed to investigate predictors and timing of recanalization after CVT.Methods We used data from the multicenter, international AntiCoagulaTION in the Treatment of Cerebral Venous Thrombosis (ACTION-CVT) study of consecutive patients with CVT from January 2015 to December 2020. Our analysis included patients that had undergone repeat venous neuroimaging more than 30 days after initiation of anticoagulation treatment. Prespecified variables were included in univariate and multivariable analyses to identify independent predictors of failure to recanalize.Results Among the 551 patients (mean age, 44.4±16.2 years, 66.2% women) that met inclusion criteria, 486 (88.2%) had complete or partial, and 65 (11.8%) had no recanalization. The median time to first follow-up imaging study was 110 days (interquartile range, 60–187). In multivariable analysis, older age (odds ratio [OR], 1.05; 95% confidence interval [CI], 1.03–1.07), male sex (OR, 0.44; 95% CI, 0.24–0.80), and lack of parenchymal changes on baseline imaging (OR, 0.53; 95% CI, 0.29–0.96) were associated with no recanalization. The majority of improvement in recanalization (71.1%) occurred before 3 months from initial diagnosis. A high percentage of complete recanalization (59.0%) took place within the first 3 months after CVT diagnosis.Conclusion Older age, male sex, and lack of parenchymal changes were associated with no recanalization after CVT. The majority recanalization occurred early in the disease course suggesting limited further recanalization with anticoagulation beyond 3 months. Large prospective studies are needed to confirm our findings.
#Stroke #Sinus thrombosis #intracranial #Cerebral veins #Vascular disease

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