机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经内科首都医科大学宣武医院[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[3]Department of Neurology, Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China[4]National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing, China[5]Department of Neurology, Affiliated Hospital of Jiujiang University, Jiujiang, 332000,Jiangxi, China[6]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA[7]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经外科首都医科大学宣武医院
Objectives: To compare the long-term safety and efficacy of stenting in correcting cerebral venous sinus stenosis (CVSS) and internal jugular venous stenosis (IJVS). Methods: Patients confirmed with CVSS or IJVS by imaging were enrolled in this real-world study from 2014 through 2021. Clinical characteristics and long-term outcomes of these two diseases entities post-stenting were followed up and compared. Results: Three hundred and nineteen patients were enrolled in this study, with a mean age of 48.83 years and a BMI of 25.08 on average. In which, 144 patients underwent stenting, the stenotic segments were corrected and the venous blood flow was restored immediately post-stenting. At 6.15 +/- 1.67 days follow-up, significant improvement was observed in headache, tinnitus, insomnia, ICP, and mean pressure gradient in both groups (all p < 0.05). At 30.53 +/- 4.41 months follow-up post-stenting, the headache, tinnitus, visual loss, papilledema, and insomnia were attenuated remarkably or even completely disappeared. The Frisen papilledema grade scores declined from 2 (0-4) to 1 (0-3) in IJVS group and from 4 (1-5) to 1 (0-4) in CVSS group compared to the baseline. One hundred and twenty-seven out of the 144 patients (95.5%) maintained sufficient blood flow verified by followed up computed tomographic venography or contrast-enhanced magnetic resonance angiography. Adverse events related to stenting included three cases of intraluminal restenosis and three cases of in-stent thrombosis, no intracranial hemorrhage, venous thromboembolisms, stent-adjacent stenosis, and stent displacement occurred. Interpretation: Using stents to correct IH and related neurological issues has shown to be a safe and effective approach for both IJVS and CVSS.
基金:
National Key R&D Program of China [2017YFC1308401]; National Natural Science Foundation of China [81660209, 82171297, 82071552]; Beijing Natural Science Foundation [7212047]
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[3]Department of Neurology, Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China[4]National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China[2]Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[3]Department of Neurology, Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China[4]National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing, China[*1]Xuanwu Hospital, Capital Medical University, Beijing 100053, China[*2]Department of Neurology, Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China
推荐引用方式(GB/T 7714):
Bai Chaobo,Chen Zhiying,Ding Yuchuan,et al.Long-term safety and efficacy of stenting on correcting internal jugular vein and cerebral venous sinus stenosis[J].ANNALS OF CLINICAL AND TRANSLATIONAL NEUROLOGY.2023,10(8):1305-1313.doi:10.1002/acn3.51822.
APA:
Bai, Chaobo,Chen, Zhiying,Ding, Yuchuan,Ji, Xunming,Yuan, Junliang&Meng, Ran.(2023).Long-term safety and efficacy of stenting on correcting internal jugular vein and cerebral venous sinus stenosis.ANNALS OF CLINICAL AND TRANSLATIONAL NEUROLOGY,10,(8)
MLA:
Bai, Chaobo,et al."Long-term safety and efficacy of stenting on correcting internal jugular vein and cerebral venous sinus stenosis".ANNALS OF CLINICAL AND TRANSLATIONAL NEUROLOGY 10..8(2023):1305-1313