Different antiplatelet regimens for stenting versus coiling for acutely-ruptured cerebral aneurysms

Li Li, Qing-Hai Huang, Qiu-Ji Shao, Kai-Tao Chang, Qian-Qian Zhang, Liang-Fu Zhu, Jian-Min Liu, Tian-Xiao Li, Bu-Lang Gao · 2024

Read Different antiplatelet regimens for stenting versus coiling for acutely-ruptured cerebral aneurysms by Li Li, Qing-Hai Huang, Qiu-Ji Shao, Kai-Tao Chang, Qian-Qian Zhang, Liang-Fu Zhu, Jian-Min Liu, Tian-Xiao Li, Bu-Lang Gao (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11621369.txt.

Description

A burst brain aneurysm demands fast sealing, either by coiling it from inside or by placing a stent, which needs blood-thinning drugs that carry their own risks after a bleed. Li Li and co-authors prospectively compared the two routes in 2,021 patients at rupture. The stent group tried four different antiplatelet schemes, from standard dosing to a fast-acting intravenous drug.

Sealing quality right after treatment was similar between groups. Complication rates were close too, near sixteen and eighteen percent, with stent-related clots in about one and a half percent of stented patients. Risk factors differed by group: a bulge on the aneurysm hindered coiling, while a narrowed parent artery predicted trouble with stents. The authors conclude the varied drug schemes can be used safely and effectively for stenting at rupture.

Catalog record

CREATORLi Li, Qing-Hai Huang, Qiu-Ji Shao, Kai-Tao Chang, Qian-Qian Zhang, Liang-Fu Zhu, Jian-Min Liu, Tian-Xiao Li, Bu-Lang Gao
YEAR2024
COLLECTIONPAPERS
FORMATTXT
FILE SIZE58 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC11621369

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