Antithrombotic Management After Intracranial Hemorrhage

Christian E. Cajavilca; Destiny Hooper; Rajeel Imran; Rajan R. Gadhia

doi:10.1007/s11936-019-0771-y

Antithrombotic Management After Intracranial Hemorrhage

Christian E. Cajavilca, Destiny Hooper, Rajeel Imran, Rajan R. Gadhia

Research output: Contribution to journal › Review article

1 Scopus citations

Abstract

Purpose of review: Intracranial hemorrhage remains one of the most feared acute neurological emergencies. However, apart from the acute management, secondary risk factor management and prevention of ischemic events remains ambiguous. We present a thorough review of the current data available regarding management of antithrombotics after intracranial hemorrhage. Recent findings: The most robust evidence comes from the investigators of the RESTART trial which reassured the safety of resuming antiplatelet therapy after ICH, namely in patients with prior indication and treatment with antithrombotics. Summary: We conclude that based on available data, the risk of recurrent ICH is probably too small to exceed the found benefits of antiplatelet therapy in the secondary prevention of ischemic vascular disease.

Original language	English (US)
Article number	88
Journal	Current Treatment Options in Cardiovascular Medicine
Volume	21
Issue number	12
DOIs	https://doi.org/10.1007/s11936-019-0771-y
State	Published - Dec 1 2019

Keywords

Antithrombotic
Intracranial hemorrhage
Ischemic stroke

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

Access to Document

10.1007/s11936-019-0771-y

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Cite this

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title = "Antithrombotic Management After Intracranial Hemorrhage",

abstract = "Purpose of review: Intracranial hemorrhage remains one of the most feared acute neurological emergencies. However, apart from the acute management, secondary risk factor management and prevention of ischemic events remains ambiguous. We present a thorough review of the current data available regarding management of antithrombotics after intracranial hemorrhage. Recent findings: The most robust evidence comes from the investigators of the RESTART trial which reassured the safety of resuming antiplatelet therapy after ICH, namely in patients with prior indication and treatment with antithrombotics. Summary: We conclude that based on available data, the risk of recurrent ICH is probably too small to exceed the found benefits of antiplatelet therapy in the secondary prevention of ischemic vascular disease.",

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T1 - Antithrombotic Management After Intracranial Hemorrhage

AU - Cajavilca, Christian E.

AU - Hooper, Destiny

AU - Imran, Rajeel

AU - Gadhia, Rajan R.

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Purpose of review: Intracranial hemorrhage remains one of the most feared acute neurological emergencies. However, apart from the acute management, secondary risk factor management and prevention of ischemic events remains ambiguous. We present a thorough review of the current data available regarding management of antithrombotics after intracranial hemorrhage. Recent findings: The most robust evidence comes from the investigators of the RESTART trial which reassured the safety of resuming antiplatelet therapy after ICH, namely in patients with prior indication and treatment with antithrombotics. Summary: We conclude that based on available data, the risk of recurrent ICH is probably too small to exceed the found benefits of antiplatelet therapy in the secondary prevention of ischemic vascular disease.

AB - Purpose of review: Intracranial hemorrhage remains one of the most feared acute neurological emergencies. However, apart from the acute management, secondary risk factor management and prevention of ischemic events remains ambiguous. We present a thorough review of the current data available regarding management of antithrombotics after intracranial hemorrhage. Recent findings: The most robust evidence comes from the investigators of the RESTART trial which reassured the safety of resuming antiplatelet therapy after ICH, namely in patients with prior indication and treatment with antithrombotics. Summary: We conclude that based on available data, the risk of recurrent ICH is probably too small to exceed the found benefits of antiplatelet therapy in the secondary prevention of ischemic vascular disease.

KW - Antithrombotic

KW - Intracranial hemorrhage

KW - Ischemic stroke

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