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تعداد آیتم قابل مشاهده باقیمانده : -55 مورد

Antiplatelet agents that may be used for stenting during endovascular stroke therapy in adults

Antiplatelet agents that may be used for stenting during endovascular stroke therapy in adults
Drug Dose Onset Half-life Platelet recovery time
Oral agents
Aspirin (nonenteric coated tablet) 325 mg orally once
  • <1 hour
  • Chewing the tablet accelerates absorption and onset
20 minutes 5 to 7 days, lifetime of platelet
Clopidogrel 300 to 600 mg orally once 2 to 6 hours 6 to 8 hours (prodrug and inactive metabolite) 5 to 7 days, lifetime of platelet
Ticagrelor 180 mg orally once 30 minutes to 2 hours 7 hours (parent drug); 9 hours (active metabolite) 3 to 5 days
Intravenous agents
Tirofiban 12 mcg/kg IV bolus over 30 minutes, followed by 0.1 mcg/kg/minute (decrease infusion dose by 50% in patients with moderate to severe kidney dysfunction) <10 minutes 1 to 2 hours 4 to 8 hours
Eptifibatide 90 to 180 mcg/kg IV bolus over ≤5 minutes, followed by 0.25 to 1 mcg/kg/minute (decrease infusion dose by 50% in patients with moderate to severe kidney dysfunction) 30 minutes 1 to 2 hours 4 to 8 hours
Cangrelor 30 mcg/kg IV bolus over <1 minute, followed by 1 to 4 mcg/kg/minute Immediate 3 to 5 minutes 1 hour
This table shows data for antiplatelet agents that might be used during the procedure. Optimal doses and combinations of medications have not been established.
IV: intravenous.
References:
  1. Flesher K, Pathan S, Kofke WA. Antiplatelet Agents in Endovascular Neurointerventional Procedures. J Neurosurg Anesthesiol 2025; 37:4.
  2. Bruening R, Mueller-Schunk S, Morhard D, et al. Intraprocedural thrombus formation during coil placement in ruptured intracranial aneurysms: Treatment with systemic application of the glycoprotein IIb/IIIa antagonist tirofiban. Am J Neuroradiol 2006; 27:1326.
  3. Chalouhi N, Jabbour P, Kung D, Hasan D. Safety and efficacy of tirofiban in stent-assisted coil embolization of intracranial aneurysms. Neurosurgery 2012; 71:710.
  4. Kim S, Choi JH, Kang M, et al. Safety and Efficacy of Intravenous Tirofiban as Antiplatelet Premedication for Stent-Assisted Coiling in Acutely Ruptured Intracranial Aneurysms. AJNR Am J Neuroradiol 2016; 37:508.
  5. UpToDate Lexidrug. More information available at https://online.lexi.com/.
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