Antiplatelet Drugs for Neurointerventions: Part 1 Clinical Pharmacology

Autor: Joshua A Hirsch, Ronil V. Chandra, Kenny Li, Hamed Asadi, Jeremy Russell, Hong Kuan Kok, Samuel Pearce, Christen D. Barras, Mark Brooks, Vincent Thijs, Ash Jhamb, Julian Maingard
Rok vydání: 2020
Předmět:
Zdroj: Clinical Neuroradiology. 30:425-433
ISSN: 1869-1447
1869-1439
Popis: The development of endovascular treatment for intracranial aneurysms has established new techniques such as balloon and stent-assistance, flow diversion and endosaccular occlusion devices. Antiplatelet treatment is an important aspect to reduce risk of thrombus formation on microcatheters and implanted devices when utilizing these methods. It is particularly relevant for flow diverting stents to prevent early and late stent thrombosis. Consideration of platelet physiology and appropriate selection of antiplatelet medication is important as platelet dysfunction drives many of the pathological processes and complications of neurointerventional procedures. Part one of this review focuses on basic platelet physiology, pharmacology of common antiplatelet medications and future directions and therapies. Part two focuses on clinical applications and evidence-based therapeutic regimens.
Databáze: OpenAIRE