Outcomes of Decompressive Surgery for Patients With Severe Cerebral Venous Thrombosis: DECOMPRESS2 Observational Study

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Autor(es): dc.contributorChristian Medical College and Hospital-
Autor(es): dc.contributorCentro Hospitalar Universitário Lisboa Central-
Autor(es): dc.contributorUniversity of Amsterdam-
Autor(es): dc.contributorCentro Hospitalar Universitário Lisboa Norte-
Autor(es): dc.contributorUniversidade de Lisboa-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez-
Autor(es): dc.contributorUniversidade do Porto-
Autor(es): dc.contributorUniversidad de Alcalá. Red Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS)-
Autor(es): dc.contributorNational University of Singapore-
Autor(es): dc.contributorUniversity of Helsinki-
Autor(es): dc.contributorUniversity of Groningen-
Autor(es): dc.contributorUCL Queen Square Institute of Neurology-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorPost Graduate Institute of Medical Education and Research-
Autor(es): dc.contributorSteinenberg Clinic-
Autor(es): dc.contributorLisbon Central University Hospital-
Autor(es): dc.creatorAaron, Sanjit-
Autor(es): dc.creatorFerreira, Jorge M.-
Autor(es): dc.creatorCoutinho, Jonathan M.-
Autor(es): dc.creatorCanhão, Patrícia-
Autor(es): dc.creatorConforto, Adriana B.-
Autor(es): dc.creatorArauz, Antonio-
Autor(es): dc.creatorCarvalho, Marta-
Autor(es): dc.creatorMasjuan, Jaime-
Autor(es): dc.creatorSharma, Vijay K.-
Autor(es): dc.creatorPutaala, Jukka-
Autor(es): dc.creatorUyttenboogaart, Maarten-
Autor(es): dc.creatorWerring, David J.-
Autor(es): dc.creatorBazan, Rodrigo-
Autor(es): dc.creatorMohindra, Sandeep-
Autor(es): dc.creatorWeber, Jochen-
Autor(es): dc.creatorCoert, Bert A.-
Autor(es): dc.creatorKirubakaran, Prabhu-
Autor(es): dc.creatorvan Kammen, Mayte Sanchez-
Autor(es): dc.creatorSingh, Pankaj-
Autor(es): dc.creatorde Sousa, Diana Aguiar-
Autor(es): dc.creatorFerro, José M.-
Data de aceite: dc.date.accessioned2025-08-21T23:12:34Z-
Data de disponibilização: dc.date.available2025-08-21T23:12:34Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-05-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1161/STROKEAHA.123.045051-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/309804-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/309804-
Descrição: dc.descriptionBACKGROUND: Decompressive neurosurgery is recommended for patients with cerebral venous thrombosis (CVT) who have large parenchymal lesions and impending brain herniation. This recommendation is based on limited evidence. We report long-term outcomes of patients with CVT treated by decompressive neurosurgery in an international cohort. METHODS: DECOMPRESS2 (Decompressive Surgery for Patients With Cerebral Venous Thrombosis, Part 2) was a prospective, international cohort study. Consecutive patients with CVT treated by decompressive neurosurgery were evaluated at admission, discharge, 6 months, and 12 months. The primary outcome was death or severe disability (modified Rankin Scale scores, 5–6) at 12 months. The secondary outcomes included patient and caregiver opinions on the benefits of surgery. The association between baseline variables before surgery and the primary outcome was assessed by multivariable logistic regression. RESULTS: A total of 118 patients (80 women; median age, 38 years) were included from 15 centers in 10 countries from December 2011 to December 2019. Surgery (115 craniectomies and 37 hematoma evacuations) was performed within a median of 1 day after diagnosis. At last assessment before surgery, 68 (57.6%) patients were comatose, fixed dilated pupils were found unilaterally in 27 (22.9%) and bilaterally in 9 (7.6%). Twelve-month follow-up data were available for 113 (95.8%) patients. Forty-six (39%) patients were dead or severely disabled (modified Rankin Scale scores, 5–6), of whom 40 (33.9%) patients had died. Forty-two (35.6%) patients were independent (modified Rankin Scale scores, 0–2). Coma (odds ratio, 2.39 [95% CI, 1.03–5.56]) and fixed dilated pupil (odds ratio, 2.22 [95% CI, 0.90–4.92]) were predictors of death or severe disability. Of the survivors, 56 (78.9%) patients and 61 (87.1%) caregivers expressed a positive opinion on surgery. CONCLUSIONS: Two-thirds of patients with severe CVT were alive and more than one-third were independent 1 year after decompressive surgery. Among survivors, surgery was judged as worthwhile by 4 out of 5 patients and caregivers. These results support the recommendation to perform decompressive neurosurgery in patients with CVT with impending brain herniation.-
Descrição: dc.descriptionNeurology Unit Department of Neurological Sciences Christian Medical College and Hospital, Tamil Nadu-
Descrição: dc.descriptionServiço de Neurologia Centro Hospitalar Universitário Lisboa Central-
Descrição: dc.descriptionDepartment of Neurology Amsterdam University Medical Centers University of Amsterdam-
Descrição: dc.descriptionDepartment of Neurosurgery Amsterdam University Medical Centers University of Amsterdam-
Descrição: dc.descriptionServiço de Neurologia Departamento de Neurociências e Saúde Mental Centro Hospitalar Universitário Lisboa Norte-
Descrição: dc.descriptionCentro de Estudos Egas Moniz Faculdade de Medicina Universidade de Lisboa-
Descrição: dc.descriptionHospital das Clínicas Universidade de São Paulo-
Descrição: dc.descriptionStroke Clinic Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez-
Descrição: dc.descriptionServiço de Neurologia Uni-dade Local de Saúde São João Faculdade de Medicina Universidade do Porto-
Descrição: dc.descriptionDepartamento de Neurociências Clínicas e Saúde Mental Faculdade de Medicina Universidade do Porto-
Descrição: dc.descriptionServicio de Neurología Hospital Universitario Ramón y Cajal Instituto Ramon y Cajal de Investigación Sanitaria (IRYCIS) Departamento de Medicina Universidad de Alcalá. Red Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS)-
Descrição: dc.descriptionDepartment of Medicine Yong Loo Lin School of Medicine National University of Singapore-
Descrição: dc.descriptionDepartment of Neurology Helsinki University Hospital University of Helsinki-
Descrição: dc.descriptionDepartment of Neurology and Medical Imaging Center University Medical Center Groningen University of Groningen-
Descrição: dc.descriptionStroke Research Centre UCL Queen Square Institute of Neurology-
Descrição: dc.descriptionFaculdade de Medicina Campus de Botucatu Universidade Estadual Paulista Julio de Mesquita Filho, São Paulo-
Descrição: dc.descriptionDepartment of Neurosurgery Post Graduate Institute of Medical Education and Research-
Descrição: dc.descriptionDepartment of Neurosurgery Steinenberg Clinic-
Descrição: dc.descriptionStroke Center Lisbon Central University Hospital-
Descrição: dc.descriptionFaculdade de Medicina Campus de Botucatu Universidade Estadual Paulista Julio de Mesquita Filho, São Paulo-
Formato: dc.format1218-1226-
Idioma: dc.languageen-
Relação: dc.relationStroke-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectbrain-
Palavras-chave: dc.subjectcaregivers-
Palavras-chave: dc.subjecthemorrhage-
Palavras-chave: dc.subjectischemic stroke-
Palavras-chave: dc.subjectstroke-
Título: dc.titleOutcomes of Decompressive Surgery for Patients With Severe Cerebral Venous Thrombosis: DECOMPRESS2 Observational Study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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