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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

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Antiplatelet Therapy in Neurointervention.

Alice Ma¹, Harshil Dharamdasani Detaram¹, Brendan Steinfort¹

¹Department of Neurosurgery, Royal North Shore Hospital, St. Leonards, New South Wales, Australia.

Seminars in Neurology

|August 10, 2023

Summary

Antiplatelet medications are crucial in neurointervention, but evidence is limited. Standardized protocols and platelet function testing may guide treatment decisions for stroke and aneurysm interventions.

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Area of Science:

Neuroscience
Pharmacology
Cardiovascular Medicine

Background:

Antiplatelet therapy is integral to neurointervention, aiming to prevent and reduce platelet aggregation.
Current practices often involve dual antiplatelet regimens, including clopidogrel and agents like prasugrel or ticagrelor.

Conclusions:

Antiplatelet decision-making in neurointervention is complex, with a need for more randomized controlled trials.
Comparative trials are essential for guiding acute and elective treatment strategies.
Standardized protocols with platelet function testing could aid clinical decisions pending further evidence.