{"id":"https://openalex.org/W7225761093","doi":"https://doi.org/10.3389/fneur.2026.1858279","title":"Efficacy and safety of endovascular mechanical thrombectomy for cerebral venous sinus thrombosis: meta-analysis","display_name":"Efficacy and safety of endovascular mechanical thrombectomy for cerebral venous sinus thrombosis: meta-analysis","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225761093","doi":"https://doi.org/10.3389/fneur.2026.1858279"},"language":"en","primary_location":{"id":"doi:10.3389/fneur.2026.1858279","doi":"https://doi.org/10.3389/fneur.2026.1858279","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fneur.2026.1858279","pdf_url":null,"source":{"id":"https://openalex.org/S96975567","display_name":"Frontiers in Neurology","issn_l":"1664-2295","issn":["1664-2295"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Neurology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3389/fneur.2026.1858279","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061456448","display_name":"Lu Yang","orcid":"https://orcid.org/0000-0001-9989-6836","observed_orcids":["https://orcid.org/0000-0001-9989-6836"]},"institutions":[{"id":"https://openalex.org/I159948400","display_name":"Jinan University","ror":"https://ror.org/02xe5ns62","country_code":"CN","type":"education","lineage":["https://openalex.org/I159948400"]},{"id":"https://openalex.org/I3045169105","display_name":"Southern University of Science and Technology","ror":"https://ror.org/049tv2d57","country_code":"CN","type":"education","lineage":["https://openalex.org/I3045169105"]},{"id":"https://openalex.org/I4210105608","display_name":"ShenZhen People\u2019s Hospital","ror":"https://ror.org/01hcefx46","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105608"]},{"id":"https://openalex.org/I4210120522","display_name":"Shantou University Medical College","ror":"https://ror.org/02gxych78","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210120522"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lu Yang","raw_affiliation_strings":["Department of Neurosurgery, Shenzhen Neurosurgical Training and Innovation Center, Guangdong Engineering Technological Research Center for Nervous Anatomy and Related Clinical Applications, Shenzhen People\u2019s Hospital, (The First Affiliated Hospital, Southern University of Science and Technology; The Second Clinical Medical College, Jinan University)","Guangdong Engineering Technological Research Center for Nervousanatomy and Related Clinical Applications","Shantou University Medical College, Shantou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Shenzhen Neurosurgical Training and Innovation Center, Guangdong Engineering Technological Research Center for Nervous Anatomy and Related Clinical Applications, Shenzhen People\u2019s Hospital, (The First Affiliated Hospital, Southern University of Science and Technology; The Second Clinical Medical College, Jinan University)","institution_ids":["https://openalex.org/I159948400","https://openalex.org/I3045169105","https://openalex.org/I4210105608"]},{"raw_affiliation_string":"Guangdong Engineering Technological Research Center for Nervousanatomy and Related Clinical Applications","institution_ids":[]},{"raw_affiliation_string":"Shantou University Medical College, Shantou University","institution_ids":["https://openalex.org/I4210120522"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027310680","display_name":"LIU Jia\u2043lin","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jialin Liu","raw_affiliation_strings":["Department of Medicine, Shijiazhuang Huayao Hospital of North China Medical and Health Group"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Shijiazhuang Huayao Hospital of North China Medical and Health Group","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006417452","display_name":"Rui\u2010Sheng Duan","orcid":"https://orcid.org/0000-0002-7481-7641","observed_orcids":["https://orcid.org/0000-0002-7481-7641"]},"institutions":[{"id":"https://openalex.org/I4210110525","display_name":"Hebei General Hospital","ror":"https://ror.org/01nv7k942","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210110525"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ruisheng Duan","raw_affiliation_strings":["Department of Neurology, Hebei General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, Hebei General Hospital","institution_ids":["https://openalex.org/I4210110525"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161413799","display_name":"Hao Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I159948400","display_name":"Jinan University","ror":"https://ror.org/02xe5ns62","country_code":"CN","type":"education","lineage":["https://openalex.org/I159948400"]},{"id":"https://openalex.org/I3045169105","display_name":"Southern University of Science and Technology","ror":"https://ror.org/049tv2d57","country_code":"CN","type":"education","lineage":["https://openalex.org/I3045169105"]},{"id":"https://openalex.org/I4210105608","display_name":"ShenZhen People\u2019s Hospital","ror":"https://ror.org/01hcefx46","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105608"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Hao Wang","raw_affiliation_strings":["Department of Neurosurgery, Shenzhen Neurosurgical Training and Innovation Center, Guangdong Engineering Technological Research Center for Nervous Anatomy and Related Clinical Applications, Shenzhen People\u2019s Hospital, (The First Affiliated Hospital, Southern University of Science and Technology; The Second Clinical Medical College, Jinan University)","Guangdong Engineering Technological Research Center for Nervousanatomy and Related Clinical Applications"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Shenzhen Neurosurgical Training and Innovation Center, Guangdong Engineering Technological Research Center for Nervous Anatomy and Related Clinical Applications, Shenzhen People\u2019s Hospital, (The First Affiliated Hospital, Southern University of Science and Technology; The Second Clinical Medical College, Jinan University)","institution_ids":["https://openalex.org/I159948400","https://openalex.org/I3045169105","https://openalex.org/I4210105608"]},{"raw_affiliation_string":"Guangdong Engineering Technological Research Center for Nervousanatomy and Related Clinical Applications","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5161413799"],"corresponding_institution_ids":["https://openalex.org/I159948400","https://openalex.org/I3045169105","https://openalex.org/I4210105608"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11929","display_name":"Cerebral Venous Sinus Thrombosis","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11929","display_name":"Cerebral Venous Sinus Thrombosis","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11402","display_name":"Vascular Malformations Diagnosis and Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9620000123977661},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.7566999793052673},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.614799976348877},{"id":"https://openalex.org/C2779621607","wikidata":"https://www.wikidata.org/wiki/Q1428132","display_name":"Cerebral venous sinus thrombosis","level":3,"score":0.5375999808311462},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.5210999846458435},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4726000130176544},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.46799999475479126},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4332999885082245},{"id":"https://openalex.org/C2780011451","wikidata":"https://www.wikidata.org/wiki/Q2751330","display_name":"Venous thrombosis","level":3,"score":0.3919000029563904},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.3903000056743622},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.361299991607666},{"id":"https://openalex.org/C2778959117","wikidata":"https://www.wikidata.org/wiki/Q430892","display_name":"Deep vein","level":3,"score":0.3407999873161316},{"id":"https://openalex.org/C142424586","wikidata":"https://www.wikidata.org/wiki/Q7307572","display_name":"Refractory (planetary science)","level":2,"score":0.326200008392334},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.31459999084472656},{"id":"https://openalex.org/C2777094939","wikidata":"https://www.wikidata.org/wiki/Q1368943","display_name":"Intracerebral hemorrhage","level":3,"score":0.3070000112056732},{"id":"https://openalex.org/C3018386432","wikidata":"https://www.wikidata.org/wiki/Q426449","display_name":"Endovascular treatment","level":3,"score":0.28760001063346863},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.27059999108314514},{"id":"https://openalex.org/C2779668873","wikidata":"https://www.wikidata.org/wiki/Q6693756","display_name":"Lower risk","level":3,"score":0.2590999901294708},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.25760000944137573}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fneur.2026.1858279","doi":"https://doi.org/10.3389/fneur.2026.1858279","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fneur.2026.1858279","pdf_url":null,"source":{"id":"https://openalex.org/S96975567","display_name":"Frontiers in Neurology","issn_l":"1664-2295","issn":["1664-2295"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Neurology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fneur.2026.1858279","doi":"https://doi.org/10.3389/fneur.2026.1858279","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fneur.2026.1858279","pdf_url":null,"source":{"id":"https://openalex.org/S96975567","display_name":"Frontiers in Neurology","issn_l":"1664-2295","issn":["1664-2295"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Neurology","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":45,"referenced_works":["https://openalex.org/W1964435302","https://openalex.org/W1971792014","https://openalex.org/W1979423827","https://openalex.org/W2010357776","https://openalex.org/W2015617486","https://openalex.org/W2023942188","https://openalex.org/W2036408127","https://openalex.org/W2066295260","https://openalex.org/W2067454927","https://openalex.org/W2076786680","https://openalex.org/W2079810642","https://openalex.org/W2082350865","https://openalex.org/W2097963466","https://openalex.org/W2103265818","https://openalex.org/W2106501818","https://openalex.org/W2114077769","https://openalex.org/W2119141448","https://openalex.org/W2125435699","https://openalex.org/W2126852509","https://openalex.org/W2135532364","https://openalex.org/W2157798251","https://openalex.org/W2157823046","https://openalex.org/W2159087884","https://openalex.org/W2161701454","https://openalex.org/W2168794756","https://openalex.org/W2173215518","https://openalex.org/W2177915638","https://openalex.org/W2587963683","https://openalex.org/W2622076309","https://openalex.org/W2625455206","https://openalex.org/W2786189262","https://openalex.org/W2799453365","https://openalex.org/W2806658281","https://openalex.org/W3011281892","https://openalex.org/W3024300379","https://openalex.org/W3041224727","https://openalex.org/W3114739529","https://openalex.org/W3174498391","https://openalex.org/W3215685820","https://openalex.org/W4376131086","https://openalex.org/W4391317881","https://openalex.org/W4393355778","https://openalex.org/W4404569088","https://openalex.org/W4404766206","https://openalex.org/W4407116026"],"related_works":[],"abstract_inverted_index":{"Background":[0],"Cerebral":[1],"venous":[2],"sinus":[3],"thrombosis":[4],"(CVST)":[5],"is":[6,243],"an":[7,189],"uncommon":[8],"yet":[9],"potentially":[10],"disabling":[11],"cause":[12],"of":[13,24,29,147,191,272,283],"stroke":[14],"that":[15],"predominantly":[16],"affects":[17],"young":[18],"adults.":[19],"Anticoagulation":[20],"remains":[21],"the":[22,60,84,97,150,247,252,281],"cornerstone":[23],"treatment;":[25],"however,":[26,167],"a":[27,177,182],"subset":[28],"patients":[30,81],"experience":[31],"clinical":[32],"deterioration":[33],"despite":[34],"adequate":[35],"anticoagulation.":[36],"Consequently,":[37],"endovascular":[38,78],"mechanical":[39],"thrombectomy":[40],"(EMT)":[41],"has":[42],"been":[43],"introduced":[44],"for":[45],"high-risk":[46],"or":[47,76,228],"refractory":[48],"cases,":[49],"though":[50],"its":[51],"efficacy":[52],"and":[53,63,104,125,138,176,257,265],"safety":[54],"remain":[55],"controversial.":[56],"Methods":[57],"PubMed,":[58],"Embase,":[59],"Cochrane":[61],"Library,":[62],"Europe":[64],"PMC":[65],"were":[66,106,117,128,134],"systematically":[67],"searched":[68],"to":[69,246,279],"identify":[70],"studies":[71,89,133],"comparing":[72],"EMT":[73,141,198,242,256,284],"with":[74,82,112,144],"anticoagulation":[75],"alternative":[77],"treatment":[79],"in":[80,149,285],"CVST;":[83],"database":[85],"searches":[86],"covered":[87],"eligible":[88],"through":[90],"May":[91],"2026.":[92],"Mortality":[93],"was":[94,142,170],"designated":[95],"as":[96,270],"primary":[98,151],"outcome;":[99],"mRS":[100,204],"\u2264":[101,205],"2,":[102],"recurrence,":[103],"complications":[105,229],"secondary":[107],"outcomes.":[108],"Odds":[109],"ratios":[110],"(ORs)":[111],"95%":[113,157,195,211,222,234],"confidence":[114],"intervals":[115],"(CIs)":[116],"pooled":[118],"using":[119],"random-effects":[120],"(DerSimonian\u2013Laird)":[121],"models.":[122],"Sensitivity,":[123],"subgroup,":[124],"publication-bias":[126],"analyses":[127],"performed.":[129],"Results":[130],"Overall,":[131],"19":[132],"included":[135],"(18":[136],"non-randomized":[137],"one":[139],"randomized).":[140],"associated":[143],"increased":[145],"odds":[146],"mortality":[148,258],"model":[152],"(12":[153],"studies;":[154,194,208,219,231],"OR":[155,190,209,220,232],"1.67;":[156],"CI":[158,196,212,223,235],"1.09\u20132.56;":[159],"p":[160,214,225,237],"=":[161,165,215,226,238],"0.019;":[162],"I":[163],"2":[164,206],"6.7%);":[166],"this":[168],"association":[169,254],"not":[171,267],"robust":[172],"on":[173,203],"leave-one-out":[174],"analysis,":[175],"sensitivity":[178],"analysis":[179],"additionally":[180],"including":[181],"National":[183],"Inpatient":[184],"Sample":[185],"administrative-database":[186],"study":[187],"yielded":[188],"1.96":[192],"(13":[193],"1.20\u20133.22).":[197],"had":[199],"no":[200],"significant":[201],"effect":[202],"(14":[207],"0.83;":[210],"0.37\u20131.85;":[213],"0.650),":[216],"recurrence":[217],"(6":[218],"0.80;":[221],"0.33\u20131.89;":[224],"0.605),":[227],"(10":[230],"1.20;":[233],"0.55\u20132.64;":[236],"0.643).":[239],"Conclusion":[240],"Since":[241],"preferentially":[244],"applied":[245],"most":[248],"severely":[249],"affected":[250],"patients,":[251],"observed":[253],"between":[255],"may":[259],"substantially":[260],"reflect":[261],"confounding":[262],"by":[263],"indication":[264],"should":[266],"be":[268],"interpreted":[269],"evidence":[271],"procedural":[273],"harm.":[274],"Randomized":[275],"trials":[276],"are":[277],"needed":[278],"define":[280],"role":[282],"CVST.":[286],"Clinical":[287],"trial":[288],"registration":[289],"INPLASY202540001.":[290]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}
