Microbleed prevalence and burden in anticoagulant-associated intracerebral bleed

© 2019 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals, Inc on behalf of American Neurological Association..

Prior studies suggest an association between Vitamin K antagonists (VKA) and cerebral microbleeds (CMBs); less is known about nonvitamin K oral anticoagulants (NOACs). In this observational study we describe CMB profiles in a multicenter cohort of 89 anticoagulation-related intracerebral hemorrhage (ICH) patients. CMB prevalence was 51% (52% in VKA-ICH, 48% in NOAC-ICH). NOAC-ICH patients had lower median CMB count [2(IQR:1-3) vs. 7(4-11); P < 0.001]; ≥5 CMBs were less prevalent in NOAC-ICH (4% vs. 31%, P = 0.006). This inverse association between NOAC exposure and high CMB count persisted in multivariable logistic regression models adjusting for potential confounders (OR 0.10, 95%CI: 0.01-0.83; P = 0.034).

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

Annals of clinical and translational neurology - 6(2019), 8 vom: 04. Aug., Seite 1546-1551

Sprache:

Englisch

Beteiligte Personen:

Lioutas, Vasileios-Arsenios [VerfasserIn]
Goyal, Nitin [VerfasserIn]
Katsanos, Aristeidis H [VerfasserIn]
Krogias, Christos [VerfasserIn]
Zand, Ramin [VerfasserIn]
Sharma, Vijay K [VerfasserIn]
Varelas, Panayiotis [VerfasserIn]
Malhotra, Konark [VerfasserIn]
Paciaroni, Maurizio [VerfasserIn]
Sharaf, Aboubakar [VerfasserIn]
Chang, Jason [VerfasserIn]
Kargiotis, Odysseas [VerfasserIn]
Pandhi, Abhi [VerfasserIn]
Schroeder, Christoph [VerfasserIn]
Tsantes, Argyrios [VerfasserIn]
Boviatsis, Efstathios [VerfasserIn]
Mehta, Chandan [VerfasserIn]
Mitsias, Panayiotis D [VerfasserIn]
Selim, Magdy H [VerfasserIn]
Alexandrov, Andrei V [VerfasserIn]
Tsivgoulis, Georgios [VerfasserIn]

Links:

Volltext

Themen:

12001-79-5
Anticoagulants
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Vitamin K

Anmerkungen:

Date Completed 29.05.2020

Date Revised 29.05.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/acn3.50834

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300131674