Evidence map›Paper›PMID 41657449›Full record

ArticleTranslational pediatrics2026

Pegaspargase-associated cerebral venous sinus thrombosis: risk factors and anticoagulation management in pediatric acute lymphoblastic leukemia-a case series.

Lu Cao, Wanting Xue, Xiangying Meng, Hui Zhang, Ruixin Zhu, Hongmei Chen, Meilin Han, Zhenjiang Bai, Shaoyan Hu, Shuiyan Wu

Abstract readCase Reports
In one paragraph

Article in Translational pediatrics, 2026. 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

What it found

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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

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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

10 authors.

Lu Cao *Pediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.
Wanting Xue *Pediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.
Xiangying Meng *Pediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.
Hui ZhangPediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.
Ruixin ZhuPediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.
Hongmei ChenPediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.
Meilin HanPediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.
Zhenjiang BaiPediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.
Shaoyan HuHematology & Oncology, Children's Hospital of Soochow University, Suzhou, China.
Shuiyan WuPediatric Intensive Care Unit, Children's Hospital of Soochow University, Suzhou, China.ORCID https://orcid.org/0000-0002-8963-5082

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite improving outcomes in pediatric acute lymphoblastic leukemia (ALL), pegaspargase (PEG-ASP) carries a risk of cerebral venous sinus thrombosis (CVST), for which optimal anticoagulation management in children remains undefined. This retrospective case series aimed to analyze the incidence, associated factors, and management outcomes of PEG-ASP-associated CVST in pediatric ALL patients. Among 741 ALL patients treated at a single center over a 3-year period, the incidence of PEG-ASP-associated CVST was 1.4% (11 cases). Case Description: Eleven pediatric ALL patients who developed PEG-ASP-associated CVST were stratified by disease severity [intensive care unit (ICU) admission Conclusions: The study highlights a significant association between cumulative PEG-ASP dose and CVST severity in this pediatric ALL cohort. The findings support the feasibility and safety of extended anticoagulation therapy alongside continued chemotherapy, without interrupting PEG-ASP treatment, leading to favorable clinical and neurological outcomes.

Indexed as

acute lymphoblastic leukemia (ALL)case seriesCerebral venous sinus thrombosis (CVST)childrenpegaspargase (PEG-ASP)

Identifiers

PMID41657449
PMCPMC12877869

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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.