Effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarction

Hemorrhagic transformation is a common complication of acute cerebral infarction, and rtPA thrombolytic therapy will increase the risk of hemorrhagic transformation. Cerebral microbleeds (CMBs) have become an important and independent predictor of cerebral hemorrhage. However, it is still controvers...

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Main Authors: Jinli Chen, Kamil Duris, Xiaobo Yang
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2022-09-01
Series:Brain Hemorrhages
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589238X21000218
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author Jinli Chen
Kamil Duris
Xiaobo Yang
author_facet Jinli Chen
Kamil Duris
Xiaobo Yang
author_sort Jinli Chen
collection DOAJ
description Hemorrhagic transformation is a common complication of acute cerebral infarction, and rtPA thrombolytic therapy will increase the risk of hemorrhagic transformation. Cerebral microbleeds (CMBs) have become an important and independent predictor of cerebral hemorrhage. However, it is still controversial whether CMBs increase the risk of intracranial hemorrhage (ICH) and poor prognosis (PFO) after intravenous thrombolysis (IVT) in patients with acute ischemic stroke (AIS).This review summarizes a number of studies on microbleeds in clinical patients, and discusses whether the presence, number, and distribution of CMBs are related to ICH and PFO after IVT in AIS patients, as well as the significance of CMBs in IVT decision-making in AIS.
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spelling doaj.art-77f891d270aa455d8ce115fcfe0acf952022-12-22T02:52:00ZengKeAi Communications Co., Ltd.Brain Hemorrhages2589-238X2022-09-0133117119Effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarctionJinli Chen0Kamil Duris1Xiaobo Yang2Department of Neurology, Pudong New District People's Hospital, Shanghai, PR ChinaDepartment of Pathological Physiology, Faculty of Medicine, Masaryk University, Brno, Czech Republic; Department of Neurosurgery, The University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech RepublicDepartment of Neurology, Jinshan Hospital, Fudan University, Shanghai, PR China; Corresponding author at: Department of Neurology, Jinshan Hospital, Fudan University, Shanghai, PR ChinaHemorrhagic transformation is a common complication of acute cerebral infarction, and rtPA thrombolytic therapy will increase the risk of hemorrhagic transformation. Cerebral microbleeds (CMBs) have become an important and independent predictor of cerebral hemorrhage. However, it is still controversial whether CMBs increase the risk of intracranial hemorrhage (ICH) and poor prognosis (PFO) after intravenous thrombolysis (IVT) in patients with acute ischemic stroke (AIS).This review summarizes a number of studies on microbleeds in clinical patients, and discusses whether the presence, number, and distribution of CMBs are related to ICH and PFO after IVT in AIS patients, as well as the significance of CMBs in IVT decision-making in AIS.http://www.sciencedirect.com/science/article/pii/S2589238X21000218Cerebral microbleedsIntravenous thrombolysisHemorrhagic transformation
spellingShingle Jinli Chen
Kamil Duris
Xiaobo Yang
Effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarction
Brain Hemorrhages
Cerebral microbleeds
Intravenous thrombolysis
Hemorrhagic transformation
title Effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarction
title_full Effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarction
title_fullStr Effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarction
title_full_unstemmed Effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarction
title_short Effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarction
title_sort effect of cerebral microbleeds on hemorrhagic transformation and functional prognosis after intravenous thrombolysis of cerebral infarction
topic Cerebral microbleeds
Intravenous thrombolysis
Hemorrhagic transformation
url http://www.sciencedirect.com/science/article/pii/S2589238X21000218
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