Evidence map›Paper›PMID 35668360›Full record

Observational studyBMC neurology2022

Safety and efficacy comparison between OACs plus single antiplatelet and dual antiplatelet therapy in patients with cerebral venous sinus stenosis poststenting.

Chaobo Bai, Zhiying Chen, Xiaoqin Wu, Roxanne Ilagan, Yuchuan Ding, Xunming Ji, Ran Meng

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Chaobo Bai *Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Zhiying Chen *Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Xiaoqin WuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Roxanne IlaganDepartment of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA.
Yuchuan DingAdvanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, 100053, China.
Xunming JiAdvanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, 100053, China. jixm@ccmu.edu.cn.
Ran MengDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. victor65@126.com.
Chinese Institute for Brain Research · CNWayne State University · USCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe present strategies regarding poststent management for cerebral venous sinus stenosis (CVSS) are inconsistent. Herein, we compared the safety and efficacy of oral anticoagulants (OACs) plus single antiplatelet therapy and dual antiplatelet therapy for CVSS poststenting.

methodsA real-world observational study conducted from January 2009 through October 2019 enrolled patients who were diagnosed with CVSS and received stenting. Patients were divided into two groups according to the management they received poststenting. Group 1: OACs plus a single antiplatelet agent (clopidogrel 75 mg or aspirin 100 mg) and Group 2: dual antiplatelet therapy (clopidogrel 75 mg plus aspirin 100 mg). The safety (such as major or minor bleeding or venous thrombosis) and efficacy (the incidences of cerebral venous sinus restenosis, intrastent thrombosis, or stent displacement) of the two groups were compared.

resultsThere were a total of 110 eligible patients in the final analysis, including 79 females and 31 males with a mean age of 43.42 ± 13.23 years. No major bleeding or venous thrombosis occurred in either of the two groups. Two minor bleeding events occurred in group 2 (one with subcutaneous bleeding points in both lower limbs, another with submucosal bleeding in the mouth), whereas no bleeding events occurred in Group 1. In addition, at the 1-year follow-up, one case of intraluminal restenosis and two cases of in-stent thrombi occurred in Group 2, while none occurred in Group 1. Neither stenosis at stent-adjacent segments nor stent migration was detected in either group during the 1-year following stent placement.

conclusionOACs plus single antiplatelet therapy and dual antiplatelet therapy alone are both safe and efficacious management strategies after CVSS stent placement. The former may have more advantages than the latter for inhibiting intrastent thrombosis. However, further research by larger, multicenter clinical trials is needed.

Indexed as

Platelet Aggregation InhibitorsThrombosisAdultAnticoagulantsAspirinClopidogrelConstriction, PathologicDrug Therapy, CombinationFemaleHemorrhageHumansMaleMiddle AgedTreatment OutcomeAnticoagulantsAspirinClopidogrelPlatelet Aggregation InhibitorsCerebral venous sinus stenosisDual antiplateletOral anticoagulantsPoststenting

Identifiers

PMID35668360
PMCPMC9169277
OpenAlexW4281977820

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.