Evidence map›Paper›PMID 41398095›Full record

ArticleCardiovascular and interventional radiology2026

Safety and Efficacy of Ticagrelor-Based Dual Antiplatelet Therapy in Endovascular Treatment of Unruptured Intracranial Aneurysms: A Large Single-Center Retrospective Study.

Mehmet Barburoglu, Cafer Ikbal Gulsever, Sinan Seyrek, Edanur Karapinar, Yegana Mammadova, Mehmet Semih Cakir, Duran Sahin, Tugrul Cem Unal, Altay Sencer, Kubilay Aydin and 1 more

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Article in Cardiovascular and interventional radiology, 2026. 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

11 authors.

Mehmet BarburogluDepartment of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-8715-1893
Cafer Ikbal GulseverDepartment of Neurosurgery, Hakkari State Hospital, Hakkari, Turkey. cafer.gulsever@gmail.com.ORCID http://orcid.org/0000-0002-9246-1378
Sinan SeyrekDepartment of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-0921-5342
Edanur KarapinarDepartment of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5826-2041
Yegana MammadovaDepartment of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0009-0006-0903-3951
Mehmet Semih CakirDepartment of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-7072-5985
Duran SahinDepartment of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-2703-5687
Tugrul Cem UnalDepartment of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-6228-1379
Altay SencerDepartment of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-9925-5422
Kubilay AydinDepartment of Radiology, School of Medicine, Koc University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-6376-664X
Serra SencerDepartment of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-3942-093X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the safety and efficacy of ticagrelor-based dual antiplatelet therapy (DUAP) in patients undergoing stent-assisted endovascular treatment (EVT) of unruptured intracranial aneurysms (UIAs) in a large single-center cohort.

methodsWe retrospectively analyzed 153 patients who underwent elective stent-assisted EVT for UIAs and were exclusively managed with aspirin and ticagrelor from January 2021 to December 2024. Clinical outcomes included thromboembolic events (cTE), hemorrhagic events (HE), disability, and mortality. Follow-up involved cone-beam CT for early hemorrhagic complications, scheduled MRI/MR-A, and digital subtraction angiography (DSA) at six months. Outcomes were compared across treatment types: stent-assisted coil embolization (SACE, laser-cut or braided), Y-stenting, flow diversion (FD), and stent monotherapy.

resultsAmong 153 patients (mean age 54.8 ± 13.2 years; 75.2% female), thromboembolic events occurred in 4 (2.6%) and hemorrhagic events in 6 (3.9%) cases during a mean follow-up of 22.5 ± 15.9 months. Permanent disability occurred in 3 patients (2.0%) and mortality in 2 (1.3%). Event rates did not differ significantly among treatment subgroups (p > 0.05).

conclusionTicagrelor-based DUAP was associated with low thromboembolic and hemorrhagic complication rates in patients undergoing stent-assisted endovascular treatment of unruptured intracranial aneurysms, supporting its safety and efficacy in this setting.

Indexed as

Dual Anti-Platelet TherapyEndovascular ProceduresIntracranial AneurysmPlatelet Aggregation InhibitorsTicagrelorAdultAgedAspirinEmbolization, TherapeuticFemaleHumansMaleMiddle AgedRetrospective StudiesStentsTreatment OutcomeAspirinPlatelet Aggregation InhibitorsTicagrelorDual antiplatelet therapyEndovascular treatmentHemorrhagic eventsIntracranial aneurysmThromboembolic events

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.