Clinical analysis with combined thrombolysis versus systemic anticoagulation for cerebral venous and sinus thrombosis
10.3760/cma.j.issn.1006-7876.2012.01.006
- VernacularTitle:联合治疗方案与全身抗凝治疗脑静脉窦血栓形成
- Author:
Lan HOU
;
Zhihong WANG
;
Hong XIA
;
Weixiao DUAN
;
Xiaojing HUANG
;
Heng LIU
- Publication Type:Journal Article
- Keywords:
Sinus thrombosis,intracranial;
Thrombolytic therapy;
Drug therapy,combination;
Clinical protocols
- From:
Chinese Journal of Neurology
2012;45(1):20-23
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo compare the safety and efficacy of combined thrombolysis and systemic anticoagulation therapy for the treatment of cerebral venous and sinus thrombosis (CVST).MethodsA retrospective review of consecutive inpatients with CVST was undertaken. Patients were divided into two groups,combined thrombolysis group (CTG) and systemic anticoagulation group (SAG).CTG underwent improved thrombolysis scheme which included mechanical thrombus maceration and unremitting microdosis urokinase injection into the venous sinus besides low molecular weight heparin anticoagulation.Neurological deficits before and after treatment were graded with the National Institute of Health Stroke Scale (NIHSS).Functional outcomes at discharge were graded on the modified Rankin Scale (mRS).ResultsThere were 30 cases in CTG ( male =9) and 86 cases in SAG ( male =23 ).There was no significant difference of neurological deficits before treatment between two groups(0-19 vs 0-17,Z =-0.474,P =0.636).After treatment,NIHSS and mRS at discharge were significantly decreased in CTG compared to SAG.There was no significant difference on the incidence of intracerebral hemorrhage.Conclusions Combined thrombolysis is better than systemic anticoagulation in improving neurological function.Combined thrombolysis does not increase incidence of ICH compared to systemic anticoagulation.
