Sinusthrombose CCT nativ Guidelines
Hohe Dichte Sinus sag. nativ CCT linearer venoeser Infarkt
Hohe Dichte Sinus sag. nativ CCT
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Differenzierung Duraler Sinusvenenzysten und Thrombosen
He summarized the main highlights of the new guidelines as follows:
Diagnostic Recommendations
- The diagnostic recommendations are based on the impact of diagnostic procedures on patient outcome and not on process indicators.
- For the diagnosis of CVT, computed tomographic venography, magnetic resonance venography, or intra-arterial venography can be used because these techniques have similar accuracies.
- Prothrombotic and cancer screening are not recommended as a routine.
Therapeutic Recommendations
- All patients with acute CVT should be anticoagulated parentally, preferably with low-molecular-weight heparin (LMWH).
- Patients with large hemisphere lesions with impending herniation should be offered decompressive surgery.
- Seizure prophylaxis with anticonvulsants is indicated in patients who experience an acute symptomatic seizure and have a venous infarct or hemorrhage.
- Non–vitamin K anticoagulants (novel oral anticoagulants) are not recommended, particularly in the acute phase, because of the limited experience and unknown safety.
- No recommendations could be made regarding acute endovascular treatment because of the very low quality of available evidence, pending the publication of the final results of the TO-ACT trial, which was prematurely terminated for futility this year.
- Pregnancy is not contraindicated after CVT, and subcutaneous LMWH is suggested during pregnancy to prevent recurrent venous thrombotic events.
Tags: Akute Symptomatik, Sehstörung