Feher Gergely, Illes Zsolt, Komoly Samuel, Hargroves David
Szigetvar Hospital, Szigetvár, Hungary -
Int Angiol. 2016 Aug;35(4):365-8. Epub 2015 May 21.
Cerebral venous thrombosis (CVT) is an uncommon cause of stroke with extremely diverse clinical features, predisposing factors, brain imaging findings, and outcome. Anticoagulation is the cornerstone of CVT management, however, it is not supported by high-quality evicence. Novel oral anticoagulants (NOACs) have been extensively studied in patients with deep vein thrombosis, pulmonary embolism and non-valvular atrial fibrillation. The aim of our work was to review the available evidence for NOACs in the treatment of CVT. Based on our literature search there is insufficient evidence to support the use of NOACs in CVT, although case series with rivaroxaban and dabigatran have showed promising results.
脑静脉血栓形成(CVT)是一种罕见的中风病因,具有极其多样的临床特征、易感因素、脑成像表现及预后。抗凝治疗是CVT管理的基石,然而,它缺乏高质量证据的支持。新型口服抗凝剂(NOACs)已在深静脉血栓形成、肺栓塞和非瓣膜性心房颤动患者中得到广泛研究。我们这项工作的目的是回顾关于NOACs治疗CVT的现有证据。基于我们的文献检索,虽然有关利伐沙班和达比加群的病例系列研究已显示出有前景的结果,但仍缺乏足够证据支持在CVT中使用NOACs。