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Long-term safety and efficacy of stenting on correcting internal jugular vein and cerebral venous sinus stenosis

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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 [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
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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.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 神经科学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 神经科学
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出版当年[2021]版:
Q1 CLINICAL NEUROLOGY Q2 NEUROSCIENCES
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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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
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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
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