Cerebral Venous Thrombosis
Conditions
Brief summary
With regard to Cerebral Venous Thrombosis (CVT) importance as a life threatening disease, specific care is necessary, Known anti-coagulants have limitations.Vitamin K antagonists such as Warfarin, require laboratory monitoring and exact administration starting and maintenance dose. although Rivaroxaban(selective and direct Xa factor antagonist ) has no monitoring and no drug interaction. This study aim to focus on efficacy of Warfarin versus Rivaroxaban.
Interventions
Rivaroxaban will administrate to patient with CVT. In first day, enoxaparin is injected to patients and the next day, patients will receive Rivaroxaban and enoxaparin discontinue. Then, patients receive Rivaroxaban for 3 months daily.
Warfarin as a antocoagolant drug will administrate to patient with CVT. In first day, Warfarin plus enoxaparin until adjusting INR index to 2-3. Then, patients receive warfarin for 3 months daily.
Sponsors
Study design
Eligibility
Inclusion criteria
IInclusion Criteria: * Patients of both gender * Age 18 years and higher * proven CVT on neuro imaging ( MRI-MRV)
Exclusion criteria
* Patients suffering from renal failure(GFR\<30) Patients * Patients with contraindications for oral anticoagulation * Patient who having pregnancy * Uncooperative patient for completing the course of treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Rankin Scale | 3 months | based on disability grade(0-6). 0 indicate patients have no disability and the worst score is 6. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hemorrhagic rate | 3 months | based on repeat MRI |
| Stroke | 3 months | based on MRI |
Countries
Iran