Microbleed Prevalence and Burden in Anticoagulant-Associated Intracerebral Bleed
Lioutas VA, Goyal N, Katsanos AH, Krogias C, Zand R, Sharma VK, Varelas P, Malhotra K, Paciaroni M, Sharaf A, Chang J, Kargiotis O, Pandhi A, Schroeder C, Tsantes A, Boviatsis E, Mehta C, Mitsias PD, Selim MH, Alexandrov AV, and Tsivgoulis G. Microbleed Prevalence and Burden in Anticoagulant-Associated Intracerebral Bleed. Ann Clin Transl Neurol 2019.
Ann Clin Transl Neurol
Prior studies suggest an association between Vitamin K antagonists (VKA) and cerebral microbleeds (CMBs); less is known about nonvitamin K oral anticoagulants (NOACs). In this observational study we describe CMB profiles in a multicenter cohort of 89 anticoagulation-related intracerebral hemorrhage (ICH) patients. CMB prevalence was 51% (52% in VKA-ICH, 48% in NOAC-ICH). NOAC-ICH patients had lower median CMB count [2(IQR:1–3) vs. 7(4–11); P < 0.001]; ≥5 CMBs were less prevalent in NOAC-ICH (4% vs. 31%, P = 0.006). This inverse association between NOAC exposure and high CMB count persisted in multivariable logistic regression models adjusting for potential confounders (OR 0.10, 95%CI: 0.01–0.83; P = 0.034).
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