What treatment do you use for stroke prevention in cervical artery dissection?
In light of the STOP-CAD study
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What is your preferred treatment for stroke prevention in cervical artery dissection?
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2 Answers
Mednet MemberInvited Expert
Neurology · HCA Houston Healthcare
Answered on
Two prior RCTs (CADISS and TREAT-CAD) investigated this topic, each with distinct designs. The CADISS trial found no statistically significant difference in primary outcomes between antiplatelet and anticoagulation therapy for extra-cranial dissection. However, the TREAT-CAD trial failed to demon...
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Mednet MemberInvited Expert
Neurology · University of Virginia, School of Medicine
Answered on · Updated on
I agree with Dr. @Dr. First Last. My approach to stroke prevention (based on insights from the three trials and subgroup analyses) for extracranial dissection is case-based. If there are high-risk features; occlusion, thrombus, ischemic stroke, or distal embolic detection on TCD, I use anticoagulati...
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