Intraventricular Fibrinolysis Does Not Increase Perihemorrhagic Edema After Intracerebral Hemorrhage
Author(s) -
Bastian Volbers,
Ingrid Wagner,
Wolfgang Willfarth,
Arnd Doerfler,
Stefan Schwab,
Dimitre Staykov
Publication year - 2013
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.112.673228
Subject(s) - medicine , fibrinolysis , intracerebral hemorrhage , intraventricular hemorrhage , brain edema , edema , anesthesia , stroke (engine) , cerebral edema , cardiology , subarachnoid hemorrhage , pregnancy , biology , genetics , gestational age , mechanical engineering , engineering
Additional intraventricular hemorrhage leads to higher mortality and worse functional outcome after intracerebral hemorrhage (ICH). Intraventricular fibrinolysis (IVF) with recombinant tissue plasminogen activator (rtPA) is an emerging treatment strategy for such patients. However, experimental studies suggest that rtPA may exert proedematous effects and lead to increased perihemorrhagic edema (PHE) after ICH. We aimed to compare the course of PHE after ICH between patients who received IVF with rtPA and controls matched for ICH volume.
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