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Stroke Prevention in Cervical Artery Dissection
AbstractPurpose of ReviewCervical artery dissection (CAD) is rare, yet it is a common cause of stroke in young and middle-aged adults. Historically, some senior clinicians favored anticoagulation in the prevention of stroke due to CAD. Choosing the optimal antithrombotic treatment with either antiplatelet (AP) or anticoagulant (AC) medications remains a challenge. This paper will review the clinical features and imaging of CAD, and the acute treatment and prevention of stroke due to CAD.Recent FindingsUntil 2015, there were no prospective randomized trials in the optimal antithrombotic management of CAD. The Cervical Arter...
Source: Current Cardiology Reports - October 23, 2021 Category: Cardiology Source Type: research

When a Single Antiplatelet Agent for Stroke Prevention Is Not Enough: Current Evidence and Future Applications of Dual Antiplatelet Therapy.
Abstract OPINION STATEMENT: For secondary stroke prevention, long-term dual antiplatelet therapy is not recommended due to increased bleeding risks. There is no specific evidence for using dual antiplatelet therapy for cervical artery dissection or for adding a second antiplatelet agent after a stroke while taking aspirin monotherapy. For patients with atrial fibrillation and stroke/TIA unable to tolerate warfarin, aspirin monotherapy is reasonable. Dual antiplatelet therapy carries a similar risk of major bleeding as warfarin that offsets reductions in stroke risk. Dual antiplatelet therapy is recommended for end...
Source: Atherosclerosis - February 27, 2016 Category: Cardiology Authors: Yuan K, Kim AS Tags: Curr Treat Options Cardiovasc Med Source Type: research

Ischemic Stroke in Young Adults Caused by Cervical Artery Dissection —A Retrospective Study
Conclusions Dissection of cervical or intracranial artery is an important cause of ischemic stroke, especially in young adults. Therefore, it should be considered in young adults with presentation of stroke who lack traditional and modifiable risk factors. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: International Journal of Angiology - December 31, 2021 Category: Cardiology Authors: Jazbec, Lucija Menih, Marija Arh, Rok Tags: Original Article Source Type: research

When a Single Antiplatelet Agent for Stroke Prevention Is Not Enough: Current Evidence and Future Applications of Dual Antiplatelet Therapy
Opinion statement For secondary stroke prevention, long-term dual antiplatelet therapy is not recommended due to increased bleeding risks. There is no specific evidence for using dual antiplatelet therapy for cervical artery dissection or for adding a second antiplatelet agent after a stroke while taking aspirin monotherapy. For patients with atrial fibrillation and stroke/TIA unable to tolerate warfarin, aspirin monotherapy is reasonable. Dual antiplatelet therapy carries a similar risk of major b...
Source: Current Treatment Options in Cardiovascular Medicine - February 24, 2016 Category: Cardiology Source Type: research

Cervical Artery Dissection Patients Have Low Stroke Rate (CME/CE)
(MedPage Today) -- Antiplatelets or anticoagulants: No difference in stroke.
Source: MedPage Today Cardiovascular - February 13, 2015 Category: Cardiology Source Type: news

Disparities between guideline statements on acute and post-acute management of cervical artery dissection
Rev Cardiovasc Med. 2022 Jan 11;23(1):9. doi: 10.31083/j.rcm2301009.ABSTRACTEven though cervical artery dissection is one of the main reasons for ischemic stroke in young patients, acute management and post-acute primary or secondary prevention of cerebral ischemia differ significantly in different centers and countries. These discrepancies are reflected by the differences in guideline recommendations of major stroke societies. Our narrative review aims to shed light on the different recommendations in guideline-statements of stroke societies and to give an overview of the current literature concerning acute management and...
Source: Reviews in Cardiovascular Medicine - January 29, 2022 Category: Cardiology Authors: Lukas Mayer-Suess Tamara Peball Silvia Komarek Benjamin Dejakum Kurt Moelgg Stefan Kiechl Michael Knoflach Source Type: research

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