Journal of Thrombosis and Thrombolysis最新文献

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Identifying the vulnerable patient: pericoronary Adipose tissue attenuation on computed tomography. 识别易受伤害的病人:计算机断层扫描上的冠状动脉周围脂肪组织衰减。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-07-16 DOI: 10.1007/s11239-024-03014-w
Udaya S Tantry, Lekshmi Narayan Raghavakurup, Paul A Gurbel
{"title":"Identifying the vulnerable patient: pericoronary Adipose tissue attenuation on computed tomography.","authors":"Udaya S Tantry, Lekshmi Narayan Raghavakurup, Paul A Gurbel","doi":"10.1007/s11239-024-03014-w","DOIUrl":"10.1007/s11239-024-03014-w","url":null,"abstract":"","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"877-879"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer progression and tumor hypercoagulability: a platelet perspective. 癌症进展与肿瘤高凝状态:从血小板的角度看问题。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-05-17 DOI: 10.1007/s11239-024-02993-0
Yifan Zhang, Jingtong Zeng, Shihao Bao, Bo Zhang, Xianjie Li, Hanqing Wang, Yuan Cheng, Hao Zhang, Lingling Zu, Xiaohong Xu, Song Xu, Zuoqing Song
{"title":"Cancer progression and tumor hypercoagulability: a platelet perspective.","authors":"Yifan Zhang, Jingtong Zeng, Shihao Bao, Bo Zhang, Xianjie Li, Hanqing Wang, Yuan Cheng, Hao Zhang, Lingling Zu, Xiaohong Xu, Song Xu, Zuoqing Song","doi":"10.1007/s11239-024-02993-0","DOIUrl":"10.1007/s11239-024-02993-0","url":null,"abstract":"<p><p>Venous thromboembolism, which is common in cancer patients and accompanies or even precedes malignant tumors, is known as cancer-related thrombosis and is an important cause of cancer- associated death. At present, the exact etiology of the elevated incidence of venous thrombosis in cancer patients remains elusive. Platelets play a crucial role in blood coagulation, which is intimately linked to the development of arterial thrombosis. Additionally, platelets contribute to tumor progression and facilitate immune evasion by tumors. Tumor cells can interact with the coagulation system through various mechanisms, such as producing hemostatic proteins, activating platelets, and directly adhering to normal cells. The relationship between platelets and malignant tumors is also significant. In this review article, we will explore these connections.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"959-972"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differences in quality of anticoagulation care delivery according to ethnoracial group in the United States: A scoping review. 美国不同人种抗凝治疗质量的差异:范围综述。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-05-11 DOI: 10.1007/s11239-024-02991-2
Sara R Vazquez, Naomi Y Yates, Craig J Beavers, Darren M Triller, Mary M McFarland
{"title":"Differences in quality of anticoagulation care delivery according to ethnoracial group in the United States: A scoping review.","authors":"Sara R Vazquez, Naomi Y Yates, Craig J Beavers, Darren M Triller, Mary M McFarland","doi":"10.1007/s11239-024-02991-2","DOIUrl":"10.1007/s11239-024-02991-2","url":null,"abstract":"<p><p>Anticoagulation therapy is standard for conditions like atrial fibrillation, venous thromboembolism, and valvular heart disease, yet it is unclear if there are ethnoracial disparities in its quality and delivery in the United States. For this scoping review, electronic databases were searched for publications between January 1, 2011 - March 30, 2022. Eligible studies included all study designs, any setting within the United States, patients prescribed anticoagulation for any indication, outcomes reported for ≥ 2 distinct ethnoracial groups. The following four research questions were explored: Do ethnoracial differences exist in 1) access to guideline-based anticoagulation therapy, 2) quality of anticoagulation therapy management, 3) clinical outcomes related to anticoagulation care, 4) humanistic/educational outcomes related to anticoagulation therapy. A total of 5374 studies were screened, 570 studies received full-text review, and 96 studies were analyzed. The largest mapped focus was patients' access to guideline-based anticoagulation therapy (88/96 articles, 91.7%). Seventy-eight articles made statistical outcomes comparisons among ethnoracial groups. Across all four research questions, 79 articles demonstrated favorable outcomes for White patients compared to non-White patients, 38 articles showed no difference between White and non-White groups, and 8 favored non-White groups (the total exceeds the 78 articles with statistical outcomes as many articles reported multiple outcomes). Disparities disadvantaging non-White patients were most pronounced in access to guideline-based anticoagulation therapy (43/66 articles analyzed) and quality of anticoagulation management (19/21 articles analyzed). Although treatment guidelines do not differentiate anticoagulant therapy by ethnoracial group, this scoping review found consistently favorable outcomes for White patients over non-White patients in the domains of access to anticoagulation therapy for guideline-based indications and quality of anticoagulation therapy management. No differences among groups were noted in clinical outcomes, and very few studies assessed humanistic or educational outcomes.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"1076-1091"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Ultrasound on Thrombus debris during Sonothrombolysis in a Microfluidic device. 超声波对微流控装置中声波溶栓过程中血栓碎片的影响
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-06-02 DOI: 10.1007/s11239-024-03005-x
Xiaobing Zheng, Yunfan Pan, Zhaojian Wang, Shuguang Zhang
{"title":"Effect of Ultrasound on Thrombus debris during Sonothrombolysis in a Microfluidic device.","authors":"Xiaobing Zheng, Yunfan Pan, Zhaojian Wang, Shuguang Zhang","doi":"10.1007/s11239-024-03005-x","DOIUrl":"10.1007/s11239-024-03005-x","url":null,"abstract":"<p><p>Microbubble-mediated sonothrombolysis has been proven to be a non-invasive and efficient method for thrombolysis. Nevertheless, there is a potential risk that the thrombus debris generated during the dissolution of the original thrombus are too large and can lead to hazardous emboli. Using a sonothrombolysis microfluidic platform, we investigated the effects of ultrasound power, thrombolytic agent and microbubble concentration on the size of thrombus debris with the example of microbubble-mediated sonothrombolysis of arterial thrombus. Additionally, we studied the effects of ultrasound power on the size and shape of thrombus debris produced by acute and chronic arterial sonothrombolysis. In acute arterial sonothrombolysis, ultrasound power has significant effect on the size of thrombus debris and steadily increases with the increase of ultrasound power. Conversely, in chronic arterial sonothrombolysis, the size of thrombus debris is minimally affected by ultrasound power. Using the sonothrombolysis microfluidic platform, the relationship between ultrasound power and the safety of sonothrombolysis has been illustrated, and the sonothrombolysis microfluidic platform is demonstrated to be a promising tool for further studies on the process of sonothrombolysis.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"1056-1066"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness and safety in non-valvular atrial fibrillation patients switching from warfarin to direct oral anticoagulants in US healthcare claims. 在美国医疗保健索赔中,非瓣膜性心房颤动患者从华法林转为直接口服抗凝剂的有效性和安全性。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-05-02 DOI: 10.1007/s11239-024-02976-1
Gregory Y H Lip, Virginia Noxon, Amiee Kang, Xuemei Luo, Nipun Atreja, Stella Han, Dong Cheng, Jenny Jiang, Lisa Abramovitz, Steven Deitelzweig
{"title":"Effectiveness and safety in non-valvular atrial fibrillation patients switching from warfarin to direct oral anticoagulants in US healthcare claims.","authors":"Gregory Y H Lip, Virginia Noxon, Amiee Kang, Xuemei Luo, Nipun Atreja, Stella Han, Dong Cheng, Jenny Jiang, Lisa Abramovitz, Steven Deitelzweig","doi":"10.1007/s11239-024-02976-1","DOIUrl":"10.1007/s11239-024-02976-1","url":null,"abstract":"<p><strong>Introduction: </strong>There is a paucity of real-world studies examining the risks of stroke/systemic embolism (SE) and major bleeding (MB) among non-valvular atrial fibrillation (NVAF) patients switching from warfarin to a direct oral anticoagulant (DOAC). This retrospective study was conducted to compare the stroke/SE and MB risks between patients switched from warfarin to apixaban, dabigatran, or rivaroxaban in real-world clinical practice.</p><p><strong>Materials and methods: </strong>This study used data from four United States commercial claims databases from January 1, 2012 to June 30, 2019. The study population included NVAF patients initially treated with warfarin and switched to apixaban, dabigatran, or rivaroxaban within 90 days of their warfarin prescription ending. Patients were matched 1:1 between the DOACs in each database using propensity scores and then pooled for the final analysis. Cox proportional hazards models were used to calculate the risk of stroke/SE and MB.</p><p><strong>Results and conclusions: </strong>The final population consisted of 2,611 apixaban-dabigatran, 12,165 apixaban-rivaroxaban, and 2,672 dabigatran-rivaroxaban pairs. Apixaban vs. dabigatran was associated with a lower risk of stroke/SE (hazard ratio [HR]: 0.61; 95% confidence interval [CI]: 0.39-0.96) and MB (HR: 0.67; 95% CI: 0.50-0.91). Apixaban vs. rivaroxaban was associated with a similar risk of stroke/SE (HR: 0.88; 95% CI: 0.73-1.07) and a lower risk of MB (HR: 0.60; 95% CI: 0.52-0.68). There was no significant difference in either risk between dabigatran and rivaroxaban. These results provide important insights into how the risks of stroke/SE and MB for NVAF patients vary when switching from warfarin to different DOACs.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"1092-1102"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing resource allocation: Cost-effectiveness of specified D-dimer cut-offs in cancer patients with suspected venous thromboembolism. 优化资源分配:对疑似静脉血栓栓塞的癌症患者采用特定 D-二聚体临界值的成本效益。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-05-18 DOI: 10.1007/s11239-024-03000-2
Teodora Biciusca, Leon D Gruenewald, Simon S Martin, Jennifer Gotta, Scherwin Mahmoudi, Katrin Eichler, Christian Booz, Christian Salbach, Matthias Müller-Hennessen, Moritz Biener, Mustafa Yildirim, Barbara Milles, Christof M Sommer, Thomas J Vogl, Evangelos Giannitsis, Vitali Koch
{"title":"Optimizing resource allocation: Cost-effectiveness of specified D-dimer cut-offs in cancer patients with suspected venous thromboembolism.","authors":"Teodora Biciusca, Leon D Gruenewald, Simon S Martin, Jennifer Gotta, Scherwin Mahmoudi, Katrin Eichler, Christian Booz, Christian Salbach, Matthias Müller-Hennessen, Moritz Biener, Mustafa Yildirim, Barbara Milles, Christof M Sommer, Thomas J Vogl, Evangelos Giannitsis, Vitali Koch","doi":"10.1007/s11239-024-03000-2","DOIUrl":"10.1007/s11239-024-03000-2","url":null,"abstract":"<p><p>An accurate diagnosis of venous thromboembolism (VTE) is crucial, given the potential for high mortality in undetected cases. Strategic D-dimer testing may aid in identifying low-risk patients, preventing overdiagnosis and reducing imaging costs. We conducted a retrospective, comparative analysis to assess the potential cost savings that could be achieved by adopting different approaches to determine the most effective D-dimer cut-off value in cancer patients with suspected VTE, compared to the commonly used rule-out cut-off level of 0.5 mg/L. The study included 526 patients (median age 65, IQR 55-75) with a confirmed cancer diagnosis who underwent D-dimer testing. Among these patients, the VTE prevalence was 29% (n = 152). Each diagnostic strategy's sensitivity, specificity, negative likelihood ratio (NLR), as well as positive likelihood ratio (PLR), and the proportion of patients exhibiting a negative D-dimer test result, were calculated. The diagnostic strategy that demonstrated the best balance between specificity, sensitivity, NLR, and PLR, utilized an inverse age-specific cut-off level for D-dimer [0.5 + (66-age) × 0.01 mg/L]. This method yielded a PLR of 2.9 at a very low NLR for the exclusion of VTE. We observed a significant cost reduction of 4.6% and 1.0% for PE and DVT, respectively. The utilization of an age-adjusted cut-off [patient's age × 0.01 mg/L] resulted in the highest cost savings, reaching 8.1% for PE and 3.4% for DVT. Using specified D-dimer cut-offs in the diagnosis of VTE could improve economics, considering the limited occurrence of confirmed cases among patients with suspected VTE.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"996-1007"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Statins use and recurrent venous thromboembolism in the direct oral anticoagulant era: insight from the COMMAND VTE Registry-2. 直接口服抗凝剂时代他汀类药物的使用与复发性静脉血栓栓塞症:COMMAND VTE 登记-2 的启示。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-05-18 DOI: 10.1007/s11239-024-03002-0
Hiroshi Mabuchi, Ryusuke Nishikawa, Yugo Yamashita, Takeshi Morimoto, Ryuki Chatani, Kazuhisa Kaneda, Yuji Nishimoto, Nobutaka Ikeda, Yohei Kobayashi, Satoshi Ikeda, Kitae Kim, Moriaki Inoko, Toru Takase, Shuhei Tsuji, Maki Oi, Takuma Takada, Kazunori Otsui, Jiro Sakamoto, Yoshito Ogihara, Takeshi Inoue, Shunsuke Usami, Po-Min Chen, Kiyonori Togi, Norimichi Koitabashi, Seiichi Hiramori, Kosuke Doi, Yoshiaki Tsuyuki, Koichiro Murata, Kensuke Takabayashi, Hisato Nakai, Daisuke Sueta, Wataru Shioyama, Tomohiro Dohke, Koh Ono, Yoshihisa Nakagawa, Takeshi Kimura
{"title":"Statins use and recurrent venous thromboembolism in the direct oral anticoagulant era: insight from the COMMAND VTE Registry-2.","authors":"Hiroshi Mabuchi, Ryusuke Nishikawa, Yugo Yamashita, Takeshi Morimoto, Ryuki Chatani, Kazuhisa Kaneda, Yuji Nishimoto, Nobutaka Ikeda, Yohei Kobayashi, Satoshi Ikeda, Kitae Kim, Moriaki Inoko, Toru Takase, Shuhei Tsuji, Maki Oi, Takuma Takada, Kazunori Otsui, Jiro Sakamoto, Yoshito Ogihara, Takeshi Inoue, Shunsuke Usami, Po-Min Chen, Kiyonori Togi, Norimichi Koitabashi, Seiichi Hiramori, Kosuke Doi, Yoshiaki Tsuyuki, Koichiro Murata, Kensuke Takabayashi, Hisato Nakai, Daisuke Sueta, Wataru Shioyama, Tomohiro Dohke, Koh Ono, Yoshihisa Nakagawa, Takeshi Kimura","doi":"10.1007/s11239-024-03002-0","DOIUrl":"10.1007/s11239-024-03002-0","url":null,"abstract":"<p><p>Statins were reported to have a potential effect of primary prevention of venous thromboembolism (VTE), although that of secondary prevention remains uncertain. To investigate the association between statins use and recurrent VTE in the current era. The COMMAND VTE Registry-2 is a multicenter registry enrolling 5,197 consecutive VTE patients among 31 centers in Japan between January 2015 and August 2020. We divided the entire cohort into 2 groups according to statins use at the time of discharge; the statins (N = 865) and no statins groups (N = 4332). The statins group was older (72.9 vs. 66.7 years, P < 0.001), and less often had active cancer (22.0% vs. 30.4%, P < 0.001). The cumulative incidence of discontinuation of anticoagulation was significantly lower in the statins group (60.3% vs. 52.6%, Log-rank P < 0.001). The cumulative 5-year incidence of recurrent VTE was significantly lower in the statins group (6.8% vs. 10.1%, Log-rank P = 0.01). Even after adjusting for the confounders, the lower risk of the statins group relative to the no statins group remained significant for recurrent VTE (HR 0.65, 95% CI 0.45-0.91, P = 0.01). The cumulative 5-year incidence of major bleeding was significantly lower in the statins group (12.2% vs. 14.1%, Log-rank P = 0.04), although, after adjusting for the confounders, the risk of the statins group relative to the no statins group turned to be insignificant (HR 0.77, 95% CI 0.59-1.00, P = 0.054). In this large real-world VTE registry, statins use was significantly associated with a lower risk for the recurrent VTE in the current era.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"907-917"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
NEUT-RI, a surrogate marker of NETosis is lower in patients with strong IgM antiphospholipid antibodies. 在 IgM 抗磷脂抗体较强的患者中,NEUT-RI(NETosis 的替代标志物)较低。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-05-18 DOI: 10.1007/s11239-024-03001-1
Sylvie Bouvier, Mathieu Fortier, Eva Nouvellon, Ariane Olivan, Mathias Chéa, Jean-Christophe Gris
{"title":"NEUT-RI, a surrogate marker of NETosis is lower in patients with strong IgM antiphospholipid antibodies.","authors":"Sylvie Bouvier, Mathieu Fortier, Eva Nouvellon, Ariane Olivan, Mathias Chéa, Jean-Christophe Gris","doi":"10.1007/s11239-024-03001-1","DOIUrl":"10.1007/s11239-024-03001-1","url":null,"abstract":"<p><strong>Background: </strong>Antiphospholipid antibody syndrome (APS) is an acquired autoimmune disorder characterized by recurrent venous or arterial thrombosis and/or pregnancy complications. Recently, thrombotic APS was linked to increased neutrophil extracellular traps (NET) formation, suggesting an association between NETs and the severity of APS-related thrombosis.</p><p><strong>Methods: </strong>We performed a retrospective study on patients tested for presence of antiphospholipid antibodies (990 negative and 374 positive) to evaluate the association between the neutrophil activation state, estimated by the neutrophil reactive index (NEU-RI), a parameter routinely available from some haematology analysers, and antiphospholipid antibodies.</p><p><strong>Results: </strong>We do not observe a difference in NEU-RI values between positive and negative patients globally. However, interestingly, we highlight an association between high titers of IgM and low NEU-RI values indicating a lower neutrophil activation.</p><p><strong>Conclusion: </strong>Our data are in line with the recent questioning about the putative clinical consistency of positive solid-phase aPL IgM.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"1051-1055"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of associations between neutrophil extracellular trap biomarkers in blood and thrombi in acute ischemic stroke patients. 评估急性缺血性脑卒中患者血液中中性粒细胞胞外捕获物生物标记物与血栓之间的关联。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-06-09 DOI: 10.1007/s11239-024-03004-y
Tristan Baumann, Nicole de Buhr, Nicole Blume, Maria M Gabriel, Johanna Ernst, Leonie Fingerhut, Rabea Imker, Omar Abu-Fares, Mark Kühnel, Danny D Jonigk, Friedrich Götz, Christine Falk, Karin Weissenborn, Gerrit M Grosse, Ramona Schuppner
{"title":"Assessment of associations between neutrophil extracellular trap biomarkers in blood and thrombi in acute ischemic stroke patients.","authors":"Tristan Baumann, Nicole de Buhr, Nicole Blume, Maria M Gabriel, Johanna Ernst, Leonie Fingerhut, Rabea Imker, Omar Abu-Fares, Mark Kühnel, Danny D Jonigk, Friedrich Götz, Christine Falk, Karin Weissenborn, Gerrit M Grosse, Ramona Schuppner","doi":"10.1007/s11239-024-03004-y","DOIUrl":"10.1007/s11239-024-03004-y","url":null,"abstract":"<p><p>Inflammation including immunothrombosis by neutrophil extracellular traps (NETs) has important implications in acute ischemic stroke and can affect reperfusion status, susceptibility to stroke associated infections (SAI) as well as functional clinical outcome. NETs were shown to be prevalent in stroke thrombi and NET associated markers were found in stroke patients' blood. However, little is known whether blood derived NET markers reflect the amount of NETs in thrombi. Conclusions from blood derived markers to thrombus composition might open avenues for novel strategies in diagnostic and therapeutic approaches. We prospectively recruited 166 patients with acute ischemic stroke undergoing mechanical thrombectomy between March 2018 and May 2021. Available thrombi (n = 106) were stained for NET markers DNA-histone-1 complexes and myeloperoxidase (MPO). Cell free DNA (cfDNA), deoxyribonuclease (DNase) activity, MPO-histone complexes and a cytokine-panel were measured before thrombectomy and after seven days. Clinical data, including stroke etiology, reperfusion status, SAI and functional outcome after rehabilitation, were collected of all patients. NET markers were present in all thrombi. At onset the median concentration of cfDNA in blood was 0.19 µg/ml increasing to 0.30 µg/ml at 7 days. Median DNase activity at onset was 4.33 pmol/min/ml increasing to 4.96 pmol/min/ml at 7 days. Within thrombi DNA-histone-1 complexes and MPO correlated with each other (ρ = 0.792; p < 0.001). Moreover, our study provides evidence for an association between the amount of NETs and endogenous DNase activity in blood with amounts of NETs in cerebral thrombi. However, these associations need to be confirmed in larger cohorts, to investigate the potential clinical implications for individualized therapeutic and diagnostic approaches in acute ischemic stroke.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"936-946"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dual Antiplatelet Therapy vs Alteplase in Adult Patients with Acute Minor Ischemic Stroke: A Systematic Review and Meta-Analysis. 急性轻微缺血性卒中成人患者的双联抗血小板疗法与阿替普酶:系统回顾与元分析》。
IF 2.3 3区 医学
Journal of Thrombosis and Thrombolysis Pub Date : 2024-08-01 Epub Date: 2024-05-09 DOI: 10.1007/s11239-024-02994-z
Patricia Viana, Jessica Hoffmann Relvas, Thamiris Dias Delfino Cabral, Jorge Eduardo Persson, Artur Menegaz de Almeida, Marina Persson, Marcos Vinícius Oliveira Marques, Jamary Oliveira-Filho
{"title":"Dual Antiplatelet Therapy vs Alteplase in Adult Patients with Acute Minor Ischemic Stroke: A Systematic Review and Meta-Analysis.","authors":"Patricia Viana, Jessica Hoffmann Relvas, Thamiris Dias Delfino Cabral, Jorge Eduardo Persson, Artur Menegaz de Almeida, Marina Persson, Marcos Vinícius Oliveira Marques, Jamary Oliveira-Filho","doi":"10.1007/s11239-024-02994-z","DOIUrl":"10.1007/s11239-024-02994-z","url":null,"abstract":"<p><p>The efficacy and safety of dual antiplatelet therapy (DAPT) relative to intravenous (IV) alteplase in patients with acute minor ischemic stroke are insufficiently established. Therefore, we aimed to perform a meta-analysis to compare DAPT with IV alteplase in patients with acute minor stroke. MEDLINE, Embase, and Cochrane were searched for studies comparing DAPT with IV alteplase in patients with minor stroke. Functional and safety outcomes in 90 days were analyzed. Statistical analysis was performed using Rstudio 4.3.1. Subanalyses were performed restricted to non-disabling minor strokes and NIHSS score ≤ 3. PROSPERO (CRD42023440986). We included five studies with a total of 6,340 patients, of whom 4,050 (63.9%) received DAPT. The follow-up period for all included studies was 90 days. There was no significant difference for individual outcomes of mRS 0-1 (OR 1.26; 95% CI 0.85-1.89; p = 0.25), mRS 0-2 (OR 0.99; 95% CI 0.69-1.43; p = 0.97), or all-cause mortality (OR 0.80; 95% CI 0.20-3.13; p = 0.75) between groups. Symptomatic intracranial hemorrhage (sICH) was significantly lower (OR 0.11; 95% CI 0.003-0.36; p < 0.001) in patients treated with DAPT compared with IV alteplase. In terms of mRS 0-1 and mRS 0-2, we found no significant difference in both subgroup analyses. We found no statistically significant difference between DAPT and IV alteplase regarding functional outcome (mRS scores of 0-1 and 0-2) or all-cause mortality at 90 days in patients with minor ischemic stroke. Additionally, DAPT was associated with a significantly lower rate of sICH.</p>","PeriodicalId":17546,"journal":{"name":"Journal of Thrombosis and Thrombolysis","volume":" ","pages":"929-935"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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