Editor's Choice Main Category: Stroke Also Included In: Blood / Hematology;Neurology / Neuroscience Article Date: 29 Jun 2012 - 11:00 PDT Current ratings for: Warfarin Patients Who Have A Stroke - Outcomes With Anti-Clotting Agents The study's background information says: "Intravenous tissue plasminogen activator is currently the only effective treatment to improve outcomes for acute ischemic stroke; however, treatment with intravenous tPA carries the risk of symptomatic intracranial hemorrhage (sICH). Of patients who receive intravenous tPA for stroke, 2.4% to 8.8% experience this potentially life-threatening complication. Although current guidelines endorse administering intravenous tPA to warfarin-treated patients if their international normalized ratio (INR) is 1.7 or lower, there are few data on safety of intravenous tPA in warfarin-treated patients in clinical practice." Some researchers were concerned about administering intravenous tPA to stroke patients on warfarin therapy without safety data. Ying Xian, M.D., Ph.D., from the Duke Clinical Research Institute in Durham, N.C., and his team examined the link between warfarin treatment and sICH in stroke patients who received intravenous tPA as their standard clinical treatment in 23,437 patients with ischemic stroke who had an INR of 1.7 or lower between April 2009 and 2011. The data was obtained from the American … Continue reading
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