Preoperative treatment of ruptured intracranial aneurysms with tranexamic acid and monitoring of fibrinolytic activity.

Abstract:

:The fibrinolytic activity in cerebrospinal fluid has been monitored by determination of levels of fibrin split products (FSP) in 23 patients with ruptured intracranial aneurysms. In 20 of these 23, FSP was found in the cerebrospinal fluid (CSF), with levels ranging from 10 to 80 micrograms/ml. Eleven of the 23 patients were treated with 2 gm tranexamic acid daily. In these patients FSP was found in only two cases during the 2nd week, while in 12 untreated patients it was found in 10 cases. These results suggest that there exists a localized fibrinolytic activity, and monitoring the FSP levels in the CSF may be a simple and accurate method for controlling the efficiency of antifibrinolytic therapy. Thus, treatment could be begun with a lower dose, which could be increased later as deemed necessary from the results of careful monitoring.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Alvarez Garijo JA,Vilches JJ,Aznar JA

doi

10.3171/jns.1980.52.4.0453

subject

Has Abstract

pub_date

1980-04-01 00:00:00

pages

453-5

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

52

pub_type

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