Endothelial receptor proteins in acute venous thrombosis and delayed thrombus resolution in cerebral sinus vein thrombosis Article Swipe
Lukas Kellermair
,
Christoph Höfer
,
Matthias Zeller
,
Christa Kubasta
,
Dave Bandke
,
Serge Weis
,
Joerg Kellermair
,
Thomas Forstner
,
Raimund Helbok
,
Milan R. Voško
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s00415-024-12225-3
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s00415-024-12225-3
Background and purpose Cerebral sinus venous thrombosis (CSVT) is a rare but life-threatening disease and its diagnosis remains challenging. Blood biomarkers, including D-Dimer are currently not recommended in guidelines. Soluble endothelial receptor proteins (sICAM-1, sPECAM-1 and sVCAM-1) have been shown to be promising diagnostic biomarkers in deep vein thrombosis (DVT) and pulmonary embolism (PE). Therefore, we examined endothelial receptor proteins as potential biomarkers for detecting CSVT. Methods In this bi-centre, prospective study, we quantified D-Dimer as well as sICAM-1, sPECAM-1 and sVCAM-1 in plasma of patients with clinically suspected CSVT managed in the neurological emergency department (ED) of a tertiary care hospital. All patients underwent cerebral magnetic resonance imaging (MRI) and were followed up after 3, 6 and 12 months to detect thrombus resolution. Results Twenty-four out of 75 (32%) patients with clinically suspected CSVT presenting with headache to the ED were diagnosed with acute CSVT. These patients had a mean age of 45 ± 16 years and 78% were female. In patients with CSVT, mean baseline D-dimer ( p < 0.001) and sPECAM-1 ( p < 0.001) were significantly higher compared to patients without CSVT. The combination of D-Dimer and sPECAM-1 yielded the best ROC-AUC (0.994; < 0.001) with a negative predictive value of 95.7% and a positive predictive value of 95.5%. In addition, higher baseline sPECAM-1 levels (> 198 ng/ml) on admission were associated with delayed venous thrombus resolution at 3 months (AUC = 0.83). Conclusion sPECAM-1 in combination with D-Dimer should be used to improve the diagnostic accuracy of acute CSVT and sPECAM-1 may predict long-term outcome of CSVT. Confirmatory results are needed in other settings in order to show their value in the management concept of CSVT patients.
Related Topics
Concepts
Medicine
Neuroradiology
Thrombus
Thrombosis
Venous thrombosis
Neurology
Cardiology
Intracranial Thrombosis
Internal medicine
Vascular disease
Radiology
Psychiatry
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00415-024-12225-3
- https://link.springer.com/content/pdf/10.1007/s00415-024-12225-3.pdf
- OA Status
- hybrid
- Cited By
- 2
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4393992727
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4393992727Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1007/s00415-024-12225-3Digital Object Identifier
- Title
-
Endothelial receptor proteins in acute venous thrombosis and delayed thrombus resolution in cerebral sinus vein thrombosisWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
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2024-04-05Full publication date if available
- Authors
-
Lukas Kellermair, Christoph Höfer, Matthias Zeller, Christa Kubasta, Dave Bandke, Serge Weis, Joerg Kellermair, Thomas Forstner, Raimund Helbok, Milan R. VoškoList of authors in order
- Landing page
-
https://doi.org/10.1007/s00415-024-12225-3Publisher landing page
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https://link.springer.com/content/pdf/10.1007/s00415-024-12225-3.pdfDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://link.springer.com/content/pdf/10.1007/s00415-024-12225-3.pdfDirect OA link when available
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Medicine, Neuroradiology, Thrombus, Thrombosis, Venous thrombosis, Neurology, Cardiology, Intracranial Thrombosis, Internal medicine, Vascular disease, Radiology, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
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2025: 1, 2024: 1Per-year citation counts (last 5 years)
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35Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.rare | 11 |
| abstract_inverted_index.show | 273 |
| abstract_inverted_index.this | 69 |
| abstract_inverted_index.used | 246 |
| abstract_inverted_index.vein | 48 |
| abstract_inverted_index.well | 77 |
| abstract_inverted_index.were | 112, 142, 160, 179, 225 |
| abstract_inverted_index.with | 87, 132, 137, 144, 164, 200, 227, 242 |
| abstract_inverted_index.(> | 220 |
| abstract_inverted_index.(32%) | 130 |
| abstract_inverted_index.(DVT) | 50 |
| abstract_inverted_index.(MRI) | 110 |
| abstract_inverted_index.(PE). | 54 |
| abstract_inverted_index.95.7% | 206 |
| abstract_inverted_index.Blood | 20 |
| abstract_inverted_index.CSVT, | 165 |
| abstract_inverted_index.CSVT. | 66, 146, 186, 262 |
| abstract_inverted_index.These | 147 |
| abstract_inverted_index.acute | 145, 253 |
| abstract_inverted_index.after | 115 |
| abstract_inverted_index.order | 271 |
| abstract_inverted_index.other | 268 |
| abstract_inverted_index.shown | 40 |
| abstract_inverted_index.sinus | 5 |
| abstract_inverted_index.their | 274 |
| abstract_inverted_index.value | 204, 211, 275 |
| abstract_inverted_index.years | 157 |
| abstract_inverted_index.(CSVT) | 8 |
| abstract_inverted_index.0.001) | 172, 178, 199 |
| abstract_inverted_index.0.83). | 237 |
| abstract_inverted_index.95.5%. | 213 |
| abstract_inverted_index.detect | 122 |
| abstract_inverted_index.higher | 181, 216 |
| abstract_inverted_index.levels | 219 |
| abstract_inverted_index.months | 120, 234 |
| abstract_inverted_index.needed | 266 |
| abstract_inverted_index.ng/ml) | 222 |
| abstract_inverted_index.plasma | 84 |
| abstract_inverted_index.should | 244 |
| abstract_inverted_index.study, | 72 |
| abstract_inverted_index.venous | 6, 229 |
| abstract_inverted_index.(0.994; | 197 |
| abstract_inverted_index.D-Dimer | 23, 75, 190, 243 |
| abstract_inverted_index.D-dimer | 168 |
| abstract_inverted_index.Methods | 67 |
| abstract_inverted_index.ROC-AUC | 196 |
| abstract_inverted_index.Results | 125 |
| abstract_inverted_index.Soluble | 30 |
| abstract_inverted_index.concept | 279 |
| abstract_inverted_index.delayed | 228 |
| abstract_inverted_index.disease | 14 |
| abstract_inverted_index.female. | 161 |
| abstract_inverted_index.imaging | 109 |
| abstract_inverted_index.improve | 248 |
| abstract_inverted_index.managed | 91 |
| abstract_inverted_index.outcome | 260 |
| abstract_inverted_index.predict | 258 |
| abstract_inverted_index.purpose | 3 |
| abstract_inverted_index.remains | 18 |
| abstract_inverted_index.results | 264 |
| abstract_inverted_index.sVCAM-1 | 82 |
| abstract_inverted_index.without | 185 |
| abstract_inverted_index.yielded | 193 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Cerebral | 4 |
| abstract_inverted_index.accuracy | 251 |
| abstract_inverted_index.baseline | 167, 217 |
| abstract_inverted_index.cerebral | 106 |
| abstract_inverted_index.compared | 182 |
| abstract_inverted_index.embolism | 53 |
| abstract_inverted_index.examined | 57 |
| abstract_inverted_index.followed | 113 |
| abstract_inverted_index.headache | 138 |
| abstract_inverted_index.magnetic | 107 |
| abstract_inverted_index.negative | 202 |
| abstract_inverted_index.patients | 86, 104, 131, 148, 163, 184 |
| abstract_inverted_index.positive | 209 |
| abstract_inverted_index.proteins | 33, 60 |
| abstract_inverted_index.receptor | 32, 59 |
| abstract_inverted_index.sICAM-1, | 79 |
| abstract_inverted_index.sPECAM-1 | 35, 80, 174, 192, 218, 239, 256 |
| abstract_inverted_index.sVCAM-1) | 37 |
| abstract_inverted_index.settings | 269 |
| abstract_inverted_index.tertiary | 100 |
| abstract_inverted_index.thrombus | 123, 230 |
| abstract_inverted_index.(sICAM-1, | 34 |
| abstract_inverted_index.addition, | 215 |
| abstract_inverted_index.admission | 224 |
| abstract_inverted_index.currently | 25 |
| abstract_inverted_index.detecting | 65 |
| abstract_inverted_index.diagnosed | 143 |
| abstract_inverted_index.diagnosis | 17 |
| abstract_inverted_index.emergency | 95 |
| abstract_inverted_index.hospital. | 102 |
| abstract_inverted_index.including | 22 |
| abstract_inverted_index.long-term | 259 |
| abstract_inverted_index.patients. | 282 |
| abstract_inverted_index.potential | 62 |
| abstract_inverted_index.promising | 43 |
| abstract_inverted_index.pulmonary | 52 |
| abstract_inverted_index.resonance | 108 |
| abstract_inverted_index.suspected | 89, 134 |
| abstract_inverted_index.underwent | 105 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Conclusion | 238 |
| abstract_inverted_index.Therefore, | 55 |
| abstract_inverted_index.associated | 226 |
| abstract_inverted_index.bi-centre, | 70 |
| abstract_inverted_index.biomarkers | 45, 63 |
| abstract_inverted_index.clinically | 88, 133 |
| abstract_inverted_index.department | 96 |
| abstract_inverted_index.diagnostic | 44, 250 |
| abstract_inverted_index.management | 278 |
| abstract_inverted_index.predictive | 203, 210 |
| abstract_inverted_index.presenting | 136 |
| abstract_inverted_index.quantified | 74 |
| abstract_inverted_index.resolution | 231 |
| abstract_inverted_index.thrombosis | 7, 49 |
| abstract_inverted_index.Twenty-four | 126 |
| abstract_inverted_index.biomarkers, | 21 |
| abstract_inverted_index.combination | 188, 241 |
| abstract_inverted_index.endothelial | 31, 58 |
| abstract_inverted_index.guidelines. | 29 |
| abstract_inverted_index.prospective | 71 |
| abstract_inverted_index.recommended | 27 |
| abstract_inverted_index.resolution. | 124 |
| abstract_inverted_index.Confirmatory | 263 |
| abstract_inverted_index.challenging. | 19 |
| abstract_inverted_index.neurological | 94 |
| abstract_inverted_index.significantly | 180 |
| abstract_inverted_index.life-threatening | 13 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 90 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 10 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5799999833106995 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.74550712 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |