Evidence map›Paper›PMID 39607554›Full record

ArticleClinical neuroradiology2025

Role and Safety of Tirofiban in Peri-Interventional Antiplatelet Management for Aneurysm Treatment.

Rana Garayzade, Ansgar Berlis, Tim Tobias Arndt, Christina Wolfert, Björn Sommer, Gernot Müller, Christoph J Maurer

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Article in Clinical neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Rana GarayzadeDepartment of diagnostic and interventional Neuroradiology, Augsburg University Hospital, Augsburg, Germany. rana.garayzade@med.uni-augsburg.de.ORCID http://orcid.org/0000-0002-9035-4691
Ansgar BerlisDepartment of diagnostic and interventional Neuroradiology, Augsburg University Hospital, Augsburg, Germany.
Tim Tobias ArndtInstitute of Mathematics, University of Augsburg, Augsburg, Germany.
Christina WolfertDepartment of Neurosurgery, Augsburg University Hospital, Augsburg, Germany.
Björn SommerDepartment of Neurosurgery, Augsburg University Hospital, Augsburg, Germany.
Gernot MüllerInstitute of Mathematics, University of Augsburg. Germany, Augsburg, Germany.
Christoph J MaurerDepartment of diagnostic and interventional Neuroradiology, Augsburg University Hospital, Augsburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTirofiban is administered for the treatment of aneurysms in cases of thromboembolic complications, as well as in cases of acute stenting or flow-diverter implantation required within the scope of aneurysm treatment. We aimed to investigate the efficacy and safety of tirofiban in this group of patients.

methodsWe conducted a retrospective analysis of all patients undergoing aneurysm treatment and receiving peri-interventional tirofiban administration at our institution between 2009 and 2019.

resultsA total of 105 patients were included, with 61% women and 39% men (mean age = 53 years, IQR: 44-60 years). Sixty-seven patients underwent emergency aneurysm treatment, and thirty-eight were treated electively. Hemorrhagic events occurred in 22% (15/67) of the patients treated acutely, with 7.46% (5/67) exhibiting symptoms. Patients undergoing elective aneurysm treatment experienced no hemorrhagic events (p = 0.002). Among the 35 patients who required an external ventricular drain (EVD), 22.86% (8/35) developed EVD-related hemorrhages; however, none were symptomatic (p = 0.007). Of the five patients who required a craniotomy, two experienced significant bleeding, and one experienced non-significant craniotomy-related bleeding (p = 0.20).

conclusionTirofiban may be safe for use during peri-interventional complications or emergency stenting in aneurysm treatment. However, caution is necessary when craniotomy is required. In elective aneurysm treatments, administering Tirofiban in response to periprocedural complications appears to be safe.

Indexed as

Intracranial AneurysmPlatelet Aggregation InhibitorsTirofibanAdultFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomePlatelet Aggregation InhibitorsTirofibanAcute StentingElective aneurysm treatmentEmergency aneurysm treatmentThromboembolic complicationsTirofiban

Identifiers

PMID39607554
PMCPMC12174253

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