Evidence map›Paper›PMID 39933783›Full record

ArticleStroke and vascular neurology2025

Frequency and treatment of venous thromboembolic events in patients with space-occupying brain infarction and decompressive craniectomy.

Alhuda Dabbagh, Janine Mielke, Katja S Mühlberg, Karl Titus Hoffmann, Dirk Lindner, Charlotte Huber, Dominik Michalski, Johann Otto Pelz

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Article in Stroke and vascular neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Alhuda DabbaghDepartment of Neurology, University of Leipzig Medical Center, Leipzig, Germany.ORCID 0009-0007-6985-5540
Janine MielkeDepartment of Neurology, University of Leipzig Medical Center, Leipzig, Germany.
Katja S MühlbergDepartment of Angiology, University of Leipzig Medical Center, Leipzig, Germany.
Karl Titus HoffmannInstitute for Neuroradiology, University of Leipzig Medical Center, Leipzig, Germany.
Dirk LindnerDepartment of Neurosurgery, University of Leipzig Medical Center, Leipzig, Germany.
Charlotte HuberDepartment of Neurology, University of Leipzig Medical Center, Leipzig, Germany.
Dominik MichalskiDepartment of Neurology, University of Leipzig Medical Center, Leipzig, Germany.
Johann Otto PelzDepartment of Neurology, University of Leipzig Medical Center, Leipzig, Germany johann.pelz@medizin.uni-leipzig.de.ORCID 0000-0003-4391-2280

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVenous thromboembolic events (VTEs) like deep vein thrombosis or pulmonary embolism are frequent complications in (neuro) critical ill patients. Anticoagulation for VTE after space-occupying brain infarction is a therapeutic dilemma. The aim of this retrospective study was to investigate the frequency of clinically apparent VTE in patients with acute ischaemic stroke (AIS) due to large vessel occlusion (LVO), its treatment, and the rate of complications.

methodsPatients with first AIS due to LVO were assigned to one of the following groups: space-occupying brain infarction with (1) or without (2) decompressive craniectomy (DC), AIS comprising more than 2/3 (3) or less than 2/3 (4) of the middle cerebral artery territory. Clinically obtained parameters included risk factors for VTE, type of thromboprophylaxis, treatment of VTE and treatment-associated complications.

results15 of 173 (8.7%) patients had a VTE, which was diagnosed 10.9 ± 7.2 days after admission. Patients with a space-occupying brain infarction and DC had significantly more VTE (n=11/63; 17.5%) than patients with a space-occupying brain infarction without DC (0/26; p =0.023) or patients without DC (4/110; 3.6%; p = 0.004). Younger age, DC and cumulative duration of central venous catheter were identified as risk factors for VTE. Only three patients had major bleeding events while being anticoagulated (one asymptomatic cerebral and two extracranial bleedings). DISCUSSION: Patients with space-occupying brain infarction and DC hold a high risk for VTE. Despite extensive infarct size and DC, therapeutic anticoagulation required for VTE appeared to be safe regarding intracranial bleeding complications.

Indexed as

AnticoagulantsDecompressive CraniectomyIschemic StrokeVenous ThromboembolismAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeAnticoagulantsAnticoagulantsIntracranial PressureStrokeThromboembolism

Identifiers

PMID39933783
PMCPMC12573377

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