Current endovascular strategies for cerebral venous thrombosis: report of the SNIS Standards and Guidelines Committee
Current endovascular strategies for cerebral venous thrombosis: report of the SNIS Standards and Guidelines Committee
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DOI：
10.1136/neurintsurg-2018-013973
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发表时间：
2018-08-01
影响因子：
4.8
通讯作者：
Fraser, Justin F.
中科院分区：
文献类型：
--
作者：
Lee, Seon-Kyu;Mokin, Maxim;Fraser, Justin F.
脑静脉血栓形成（CVT）是一种罕见的疾病，占所有中风的< 1%，临床表现差异很大，从头痛到昏迷。1-4尽管MRI和MR静脉造影显著改善了早期诊断，但治疗后的临床结局仍然好坏参半。5 6本文件的目的包括：（1）回顾关于CVT的自然史、诊断方法和治疗方式/技术的现有知识;（2）使用现有最佳证据提供CVT管理策略的建议，但出于必要，通常依赖于关于这种罕见疾病的专家意见。建议遵循美国心脏病学会/美国心脏协会（ACC/AHA）的建议/证据等级分类以及AHA/美国卒中协会（阿萨）建议中使用的证据等级和类别定义。7
Cerebral venous thrombosis (CVT) is a rare condition accounting for< 1% of all strokes, with highly variable clinical presentations ranging from a headache to coma. 1–4 Although MRI and MR venography have significantly improved early diagnosis, clinical outcomes after treatment remain mixed. 5 6The aims of this document include:(1) to review existing knowledge about the natural history, diagnostic methodology, and treatment modalities/techniques for CVT, and (2) to provide recommendations on management strategies for CVT using the best available evidence, but out of necessity, frequently relying on expert opinion concerning this rare disease. Recommendations follow the American College of Cardiology/American Heart Association (ACC/AHA) classification of recommendation/level of evidence and definition of classes and levels of evidence used in AHA/American Stroke Association (ASA) recommendations. 7