Acute Ischemic Stroke Clinical Trial
Official title:
Predictive Significance of Thrombelastography on Early Neurological Deterioration in Patients With Acute Ischemic Stroke
The purpose of this study is to evaluate whether Thromboelastography (TEG) parameters on admission might be predictive for early neurological deterioration in acute ischemic stroke patients, specifically for the DWI lesion evolution within the first week after stroke onset.
Early neurological deterioration (END ) is a major concern in stroke care, consistently
associated with adverse clinical outcomes.END is a heterogeneous complex of
pathophysiological and clinical entities. Despite some straight forward causes, DWI lesion
growth is reportedly a primary underlying mechanism. Early recognition of END risk would
allow for timely identification and proper intervention, improving stroke health care.
Thromboelastography (TEG) measures the coagulation process from initial clotting cascade to
clot strength, providing an integrated picture of two separate but simultaneously occuring
components of coagulation, thrombosis and lysis. It has been reported to be associated with
short and long-term outcome in patients with trauma, coronary artery diseases , pulmonary
embolism and, most recently, stroke prevention.The purposes of this study is to evaluate how
effective TEG is on predicting END, by producing a range of TEG values correlated with
clinical and radiological assessment.
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