Evidence map›Paper›PMID 38817547›Full record

ArticleFrontiers in neurology2024

Efficacy and safety of Apixaban in the treatment of cerebral venous sinus thrombosis: a multi-center study.

Naaem Simaan, Issa Metanis, Asaf Honig, Hen Hallevi, Andrei Filioglo, Rom Mendel, Rani Barnea, Jonathan Naftali, Eitan Auriel, Shorooq Aladdin and 4 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Direct Oral Anticoagulants Versus Vitamin K Antagonists in Cerebral Venous Thrombosis: A Systematic Review and Meta-Analysis of 4,929 Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  2. Comparing Efficacy and Safety of Different Anticoagulants in Cerebral Venous Thrombosis: A Systematic Review and Network Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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  6. Review
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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

14 authors.

Naaem SimaanDepartment of Neurology, Ziv Medical Center, Safed, Israel.
Issa MetanisHadassah Departments of Neurology, Hebrew University Medical Center, Jerusalem, Israel.
Asaf HonigHadassah Departments of Neurology, Hebrew University Medical Center, Jerusalem, Israel.
Hen HalleviDepartment of Neurology and Stroke, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Andrei FiliogloHadassah Departments of Neurology, Hebrew University Medical Center, Jerusalem, Israel.
Rom MendelDepartment of Neurology, Assuta Ashdod Medical Center, Ashdod, Israel.
Rani BarneaDepartment of Neurology, Rabin Medical Center, Petah Tikva, Israel.
Jonathan NaftaliDepartment of Neurology, Rabin Medical Center, Petah Tikva, Israel.
Eitan AurielDepartment of Neurology, Rabin Medical Center, Petah Tikva, Israel.
Shorooq AladdinDepartments of Neurology, Sheba Medical Center, Ramat Gan, Israel.
David OrionDepartments of Neurology, Sheba Medical Center, Ramat Gan, Israel.
Najib DallyThe Azrieli Faculty of Medicine, Safed Bar Ilan University, Safed, Israel.
Ronen R LekerHadassah Departments of Neurology, Hebrew University Medical Center, Jerusalem, Israel.
Jeremy MoladDepartment of Neurology and Stroke, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Information regarding the safety and efficacy of specific direct oral anticoagulants (DOAC) in the treatment of cerebral sinus and venous thrombosis (CSVT) is scarce. Apixaban is one of the most frequently prescribed DOACs. Therefore, we aimed to compare the safety and efficacy of Apixaban with those of vitamin k antagonists (VKA) in patients with CSVT. Methods: Prospective CSVT databases from seven academic medical centers were retrospectively analyzed. Patients treated with Apixaban were compared to those treated with VKA. Data on demographics, clinical presentations, risk factors, radiological and outcome parameters were studied. Results: Overall, 403 patients were included in the analysis. Of them, 48 (12%) were treated with Apixaban, and 355 (88%) were treated with VKA. Rates of coagulopathies were significantly higher in the VKA-treated patients but no other differences between the groups were found in baseline characteristics and underlying etiology. No significant differences were found between groups in efficacy or safety parameters including the rates of recanalization, favorable outcomes, one-year mortality, seizures, intracranial hemorrhage or CSVT recurrences. Conclusion: Our data suggests that Apixaban may be safe and effective for patients with CSVT. These results should be tested in prospective randomized clinical studies.

Indexed as

Apixabancerebral sinus and venous thrombosis (CSVT)direct oral anticoagulants (DOAC)strokevitamin K antagonists (VKA)

Identifiers

PMID38817547
PMCPMC11137185

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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 OpenQuestion graph.