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急性脑静脉窦血栓是否需要血管内治疗？

张晓波,  金征宇

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文章导航 > 协和医学杂志  > 2020 >  11(2): 140-143
张晓波, 金征宇. 急性脑静脉窦血栓是否需要血管内治疗？[J]. 协和医学杂志, 2020, 11(2): 140-143. doi: 10.3969/j.issn.1674-9081.20190271
引用本文: 张晓波, 金征宇. 急性脑静脉窦血栓是否需要血管内治疗？[J]. 协和医学杂志, 2020, 11(2): 140-143. doi: 10.3969/j.issn.1674-9081.20190271
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Xiao-bo ZHANG, Zheng-yu JIN. Does Acute Cerebral Venous Sinus Thrombosis Require Endovascular Treatment?[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(2): 140-143. doi: 10.3969/j.issn.1674-9081.20190271
Citation: Xiao-bo ZHANG, Zheng-yu JIN. Does Acute Cerebral Venous Sinus Thrombosis Require Endovascular Treatment?[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(2): 140-143. doi: 10.3969/j.issn.1674-9081.20190271
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急性脑静脉窦血栓是否需要血管内治疗？

doi: 10.3969/j.issn.1674-9081.20190271

  • 中国医学科学院 北京协和医学院 北京协和医院放射科, 北京 100730

详细信息
    通讯作者:

    金征宇 电话:010-69159562, E-mail:jin_zhengyu@163.com

  • 中图分类号: R543.6

Does Acute Cerebral Venous Sinus Thrombosis Require Endovascular Treatment?

  • Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information

    摘要
  • 摘要: 脑静脉窦血栓较罕见, 发生率不足卒中的1%。其主要治疗方法是全身应用肝素抗凝, 但其中9%~13%的患者效果不佳。在病情快速恶化的患者中, 血管内治疗在技术上是可行的, 并在不同的病例系列分析和前瞻性队列研究中显示出良好的再通率。然而, 与单纯抗凝相比, 其能否改善血管内治疗亚组的临床结果仍不清楚。因此, 急性脑静脉窦血栓是否需要血管内治疗仍存在争议。
    Abstract: Cerebral venous sinus thrombosis(CVST) is rare and accounts for less than 1% of strokes. The mainstay treatment for CVST is systemic anticoagulation with heparin, but 9%-13% of patients have a poor outcome. In patients who show signs of rapid deterioration, endovascular treatment(ET) is technically feasible and has shown benefit with good recanalization rates in different case series and prospective cohorts. However, it remains unknown whether it improves the clinical outcome of the ET subgroup compared with anticoagulation alone. Therefore, whether acute CVST requires endovascular therapy remains controversial.
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    • 参考文献(22)
  • [1] Ruiz-Sandoval JL, Chiquete E, Banuelos-Becerra LJ, et al. Cerebral venous thrombosis in a Mexican multicenter registry of acute cerebrovascular disease:the RENAMEVASC study[J]. J Stroke Cerebrovasc Dis, 2012, 21:395-400. doi:  10.1016/j.jstrokecerebrovasdis.2011.01.001
    [2] Stam J. Thrombosis of the cerebral veins and sinuses[J]. N Engl J Med, 2005, 352:1791-1798. doi:  10.1056/NEJMra042354
    [3] Saposnik G, Barinagarrementeria F, Brown RD Jr, et al. Diagnosis and management of cerebral venous thrombosis:a statement for healthcare professionals from the American heart association/American stroke association[J]. Stroke, 2011, 42:1158-1192. doi:  10.1161/STR.0b013e31820a8364
    [4] Einhaupl KM, Villringer A, Meister W, et al. Heparin treatment in sinus venous thrombosis[J]. Lancet, 1991, 338:597-600. doi:  10.1016/0140-6736(91)90607-Q
    [5] Ferro JM, Canhao P, Stam J, et al. Prognosis of cerebral vein and dural sinus thrombosis:results of the International Study on Cerebral Vein and Dural Sinus Thrombosis(ISCVT)[J]. Stroke, 2004, 35:664-670. doi:  10.1161/01.STR.0000117571.76197.26
    [6] Canhão P, Falcão F, Ferro JM. Thrombolytics for cerebral sinus thrombosis:a systematic review[J]. Cerebrovasc Dis, 2003, 15:159-166. doi:  10.1159/000068833
    [7] Stam J, Majoie CB, van Delden OM, et al. Endovascular thrombectomy and thrombolysis for severe cerebral sinus thrombosis:a prospective study[J]. Stroke, 2008, 39:1487-1490. doi:  10.1161/STROKEAHA.107.502658
    [8] Mohammadian R, Sohrabi B, Mansourizadeh R, et al. Treatment of progressive cerebral sinuses thrombosis with local thrombolysis[J]. Interv Neuroradiol, 2012, 18:89-96. doi:  10.1177/159101991201800112
    [9] Rahman M, Velat GJ, Hoh BL, et al. Direct thrombolysis for cerebral venous sinus thrombosis[J]. Neurosurg Focus, 2009, 27:E7. http://www.ncbi.nlm.nih.gov/pubmed/19877797
    [10] Li G, Zeng X, Hussain M, et al. Safety and validity of mechanical thrombectomy and thrombolysis on severe cerebral venous sinus thrombosis[J]. Neurosurgery, 2013, 72:730-738. doi:  10.1227/NEU.0b013e318285c1d3
    [11] Lee SK, Mokin M, Hetts SW, et al. Current endovascular strategies for cerebral venous thrombosis:report of the SNIS Standards and Guidelines Committee[J]. J Neurointerv Surg, 2018, 10:803-810. doi:  10.1136/neurintsurg-2018-013973
    [12] Ferro JM, Bousser MG, Canhão P, et al. European Stroke Organization guideline for the diagnosis and treatment of cerebral venous thrombosis-Endorsed by the European Academy of Neurology[J]. Eur Stroke J, 2017, 2:195-221. doi:  10.1177/2396987317719364
    [13] Coutinho JM, Ferro JM, Zuurbier SM, et al. Thrombolysis or anticoagulation for cerebral venous thrombosis:rationale and design of the TO-ACT trial[J]. Int J Stroke, 2013, 8:135-140. doi:  10.1111/j.1747-4949.2011.00753.x
    [14] Siddiqui FM, WeberMW, Dandapat S, et al. Endovascular thrombolysis or thrombectomy for cerebral venous thrombosis:study of Nationwide Inpatient Sample 2004-2014[J]. J Stroke Cerebrovasc Dis, 2019, 28:1440-1447. doi:  10.1016/j.jstrokecerebrovasdis.2019.03.025
    [15] Siddiqui FM, Dandapat S, Banerjee C, et al. Mechanical thrombectomy in cerebral venous thrombosis:systematic review of 185 cases[J]. Stroke, 2015, 46:1263-1268. doi:  10.1161/STROKEAHA.114.007465
    [16] Gurley MB, King TS, Tsai FY. Sigmoid sinus thrombosis associated with internal jugular venous occlusion:direct thrombolytic treatment[J]. J Endovasc Surg, 1996, 3:306-314. doi:  10.1583/1074-6218(1996)003<0306:SSTAWI>2.0.CO;2
    [17] Dowd CF, Malek AM, Phatouros CC, et al. Application of a rheolytic thrombectomy device in the treatment of dural sinus thrombosis:a new technique[J]. Am J Neuroradiol, 1999, 20:568-570. http://www.ncbi.nlm.nih.gov/pubmed/10319961
    [18] Choulakian A, Alexander MJ. Mechanical thrombectomy with the penumbra system for treatment of venous sinus thrombosis[J]. J Neurointerv Surg, 2010, 2:153-156. doi:  10.1136/jnis.2009.001651
    [19] Siddiqui FM, Pride GL, Lee JD. Use of the Penumbra system 054 plus low dose thrombolytic infusion for multifocal venous sinus thrombosis. A report of two cases[J]. Interv Neuroradiol, 2012, 18:314-319. doi:  10.1177/159101991201800311
    [20] Dandapat S, Samaniego EA, Szeder V, et al. Safety and efficacy of the use of large bore intermediate suction catheters alone or in combination for the treatment of acute cerebral venous sinus thrombosis:A multicenter experience[J]. Interv Neuroradiol, 2020, 26:26-32. doi:  10.1177/1591019919865957
    [21] Tsang ACO, Hwang AC, Chiu RHY, et al. Combined aspiration thrombectomy and continuous intrasinus thrombolysis for cerebral venous sinus thrombosis:technical note and case series[J].Neuroradiology, 2018, 60:1093-1096. doi:  10.1007/s00234-018-2084-3
    [22] 洪霞.医患共同决策[J].协和医学杂志, 2018, 9:277-280. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xhyx201803018
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出版历程
  • 收稿日期:  2019-12-06
  • 刊出日期:  2020-03-30

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