Invited Editorials
Vol. 3 No. 2 (2024)
The balance between hemorrhage and thrombosis in patients surviving spontaneous intracerebral bleeding: the nightmare of a neurologist
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 21 August 2024
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With approximately 3 million people worldwide affected each year and the highly associated mortality and morbidity, intracerebral hemorrhage is the stroke subtype with the most severe clinical consequences. This is mainly due, on the one hand, to the lack of specific acute treatments, as opposed to the ischemic counterpart of stroke, on the other hand, to the occurrence of further vascular events after the index bleeding [...].
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Citations
GBD 2016 Stroke Collaborators. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 2019;18:439-58. DOI: https://doi.org/10.1016/S1474-4422(19)30034-1
Li L, Murthy SB. Cardiovascular events after intracerebral hemorrhage. Stroke 2022;53:2131-4. DOI: https://doi.org/10.1161/STROKEAHA.122.036884
Pezzini A, Iacoviello L, Di Castelnuovo A, et al. Long-term risks of arterial thrombosis after intracerebral hemorrhage: MUCH Italy. Stroke 2024;55:634-42. DOI: https://doi.org/10.1161/STROKEAHA.123.044626
Banerjee G, Wilson D, Ambler G, et al. CROMIS-2 collaborators. Longer term stroke risk in intracerebral hemorrhage survivors. J Neurol Neurosurg Psychiatry 2020;91:840-5. DOI: https://doi.org/10.1136/jnnp-2020-323079
Greenberg SM, Ziai WC, Cordonnier C, et al. American Heart Association/American Stroke Association. 2022 Guideline for the management of patients with spontaneous intracerebral hemorrhage: A guideline from the American Heart Association/American Stroke Association. Stroke 2022;53:e282-361. DOI: https://doi.org/10.1161/STR.0000000000000407
Al-Shahi Salman R, Minks DP, Mitra D, et al. RESTART Collaboration. Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral hemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial. Lancet Neurol 2019;18:643-52. DOI: https://doi.org/10.1016/S1474-4422(19)30184-X
Al-Shahi Salman R, Dennis MS, Sandercock PAG, et al. Effects of antiplatelet therapy after stroke caused by intracerebral hemorrhage: extended follow-up of the RESTART randomized clinical trial. JAMA Neurol 2021;78:1179-86. DOI: https://doi.org/10.1001/jamaneurol.2021.2956
El Naamani K, Abbas R, Ghanem M, et al. Resuming anticoagulants in patients with intracranial hemorrhage: a meta-analysis and literature review. Neurosurgery 2024;94:14-9. DOI: https://doi.org/10.1227/neu.0000000000002625
SoSTART Collaboration. Effects of oral anticoagulation for atrial fibrillation after spontaneous intracranial hemorrhage in the UK: a randomised, open-label, assessor-masked, pilot-phase, non-inferiority trial. Lancet Neurol 2021;20:842-53. DOI: https://doi.org/10.1016/S1474-4422(21)00264-7
Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J 2021;42:4194. DOI: https://doi.org/10.1093/eurheartj/ehaa798
How to Cite
1.
Pezzini A. The balance between hemorrhage and thrombosis in patients surviving spontaneous intracerebral bleeding: the nightmare of a neurologist. Bleeding Thromb Vascul Biol [Internet]. 2024 Aug. 21 [cited 2025 Sep. 16];3(2). Available from: https://www.btvb.org/btvb/article/view/151
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