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Efficacy of stenting in patients with cerebral venous sinus thrombosis-related cerebral venous sinus stenosis

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收录情况： ◇ SCIE

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机构： [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Department of Interventional Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China [3]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [4]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan, USA

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关键词： stenosis stent vein

摘要：

Background Venous stenting has been proven to be a safe and effective therapeutic option for patients with idiopathic intracranial hypertension (IIH) and cerebral venous sinus stenosis (CVSS). However, its use in patients with cerebral venous sinus thrombosis-related CVSS has been less reported. Purpose To explore the safety and efficacy of stenting for patients with cerebral venous sinus thrombosis (CVST)-related CVSS. Methods The clinical presentation, treatment, and outcome of patients with CVST-related CVSS received venous stenting in the chronic stage after failed medical treatment were retrospectively evaluated. Results A total of 17 patients with CVST-related CVSS were included. Mean pressure gradient across the CVSS decreased from 11.5±4.2 mmHg prior to stenting to 2.1±1.1 mmHg post-stenting. Mean CSF opening pressure decreased from 33.1±5.5 cmH 2 O to 18.7±1.7 cmH 2 O. Both headache and visual disturbance improved or resolved in 78% and 92% of the patients, respectively. Complications included lethal cerebellar hematoma in one case and bilateral occipital epidural hematoma in another case. One of the patients received retreatment with ventriculo-peritoneal shunting due to recurrent headache. Conclusion Restoring the patency of stenotic sinuses with stents in patients of CVST-related CVSS unresponsive to medical therapy in the chronic stage may improve symptoms in the majority of the patients. However, a relatively higher cerebral hemorrhage rate was observed and may be related to this pathology. Stenting in this subgroup of CVSS patients may require further evaluation with a larger and long-Term study, and should be used with caution at this time. © Author(s) (or their employer(s)) 2019.

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出版当年[2018]版：

大类 | 3 区医学

小类 | 2 区外科 3 区神经成像

最新[2023]版：

大类 | 1 区

医学

小类 | 1 区神经成像 1 区外科

JCR分区：

出版当年[2017]版：

Q1 SURGERY Q2 NEUROIMAGING

最新[2023]版：

Q1 NEUROIMAGING Q1 SURGERY

影响因子： 4.5 最新[2023版] 4.7 最新五年平均 3.526 出版当年[2017版] 3.026 出版当年五年平均 3.551 出版前一年[2016版] 3.925 出版后一年[2018版]

第一作者：

第一作者机构： [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [2]Department of Interventional Radiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China

通讯作者：

通讯机构： [*1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

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