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Safety and efficacy of aspirin, unfractionated heparin, both, or neither during endovascular stroke treatment (MR CLEAN-MED): an open-label, multicentre, randomised controlled trial

Authors :
van der Steen, Wouter
van de Graaf, Rob A
Chalos, Vicky
Lingsma, Hester F
van Doormaal, Pieter Jan
Coutinho, Jonathan M
Emmer, Bart J
de Ridder, Inger
van Zwam, Wim
van der Worp, H Bart
van der Schaaf, Irene
Gons, Rob A R
Yo, Lonneke S F
Boiten, Jelis
van den Wijngaard, Ido
Hofmeijer, Jeannette
Martens, Jasper
Schonewille, Wouter
Vos, Jan Albert
Tuladhar, Anil Man
de Laat, Karlijn F
van Hasselt, Boudewijn
Remmers, Michel
Vos, Douwe
Rozeman, Anouk
Elgersma, Otto
Uyttenboogaart, Maarten
Bokkers, Reinoud P H
van Tuijl, Julia
Boukrab, Issam
van den Berg, René
Beenen, Ludo F M
Roosendaal, Stefan D
Postma, Alida Annechien
Krietemeijer, Menno
Lycklama, Geert
Meijer, Frederick J A
Hammer, Sebastiaan
van der Hoorn, Anouk
Yoo, Albert J
Gerrits, Dick
Truijman, Martine T B
Zinkstok, Sanne
Koudstaal, Peter J
Manschot, Sanne
Kerkhoff, Henk
Nieboer, Daan
Berkhemer, Olvert
Wolff, Lennard
van der Sluijs, P Matthijs
van Voorst, Henk
Tolhuisen, Manon
Roos, Yvo B W E M
Majoie, Charles B L M
Staals, Julie
van Oostenbrugge, Robert J
Jenniskens, Sjoerd F M
van Dijk, Lukas C
den Hertog, Heleen M
van Es, Adriaan C G M
van der Lugt, Aad
Dippel, Diederik W J
Roozenbeek, Bob
Source :
The Lancet; March 2022, Vol. 399 Issue: 10329 p1059-1069, 11p
Publication Year :
2022

Abstract

Aspirin and unfractionated heparin are often used during endovascular stroke treatment to improve reperfusion and outcomes. However, the effects and risks of anti-thrombotics for this indication are unknown. We therefore aimed to assess the safety and efficacy of intravenous aspirin, unfractionated heparin, both, or neither started during endovascular treatment in patients with ischaemic stroke.

Details

Language :
English
ISSN :
01406736 and 1474547X
Volume :
399
Issue :
10329
Database :
Supplemental Index
Journal :
The Lancet
Publication Type :
Periodical
Accession number :
ejs59061298
Full Text :
https://doi.org/10.1016/S0140-6736(22)00014-9