Page last updated: 2024-10-23

aspirin and Infarct, Lacunar

aspirin has been researched along with Infarct, Lacunar in 30 studies

Aspirin: The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
acetylsalicylate : A benzoate that is the conjugate base of acetylsalicylic acid, arising from deprotonation of the carboxy group.
acetylsalicylic acid : A member of the class of benzoic acids that is salicylic acid in which the hydrogen that is attached to the phenolic hydroxy group has been replaced by an acetoxy group. A non-steroidal anti-inflammatory drug with cyclooxygenase inhibitor activity.

Research Excerpts

ExcerptRelevanceReference
"In patients with lacunar stroke, DAPT using cilostazol had significant benefits in reducing recurrent ischemic stroke incidence compared with SAPT without increasing the risk of severe or life-threatening bleeding."9.69Dual Antiplatelet Therapy With Cilostazol for Secondary Prevention in Lacunar Stroke: Subanalysis of the CSPS.com Trial. ( Hoshino, H; Houkin, K; Kimura, K; Matsumoto, M; Minematsu, K; Naritomi, H; Nishiyama, Y; Okada, Y; Origasa, H; Otsuka, T; Sakai, N; Terayama, Y; Tomimoto, H; Tominaga, T; Toyoda, K; Uchiyama, S; Yamaguchi, K; Yamaguchi, T; Yasuda, S, 2023)
"This study evaluated the efficacy of combined therapy with probucol and cilostazol on endothelial function in silent lacunar cerebral infarcts (SLCI) and mild hypercholesterolemia."9.19Combined therapeutic effect of probucol and cilostazol on endothelial function in patients with silent cerebral lacunar infarcts and hypercholesterolemia: a preliminary study. ( Hattori, H; Ishihara, M; Nagata, M; Takase, B; Tanaka, Y, 2014)
"Among patients with recent lacunar strokes, the addition of clopidogrel to aspirin did not significantly reduce the risk of recurrent stroke and did significantly increase the risk of bleeding and death."9.16Effects of clopidogrel added to aspirin in patients with recent lacunar stroke. ( Benavente, OR; Coffey, CS; Hart, RG; McClure, LA; Pearce, LA; Szychowski, JM, 2012)
"In patients with lacunar stroke, DAPT using cilostazol had significant benefits in reducing recurrent ischemic stroke incidence compared with SAPT without increasing the risk of severe or life-threatening bleeding."5.69Dual Antiplatelet Therapy With Cilostazol for Secondary Prevention in Lacunar Stroke: Subanalysis of the CSPS.com Trial. ( Hoshino, H; Houkin, K; Kimura, K; Matsumoto, M; Minematsu, K; Naritomi, H; Nishiyama, Y; Okada, Y; Origasa, H; Otsuka, T; Sakai, N; Terayama, Y; Tomimoto, H; Tominaga, T; Toyoda, K; Uchiyama, S; Yamaguchi, K; Yamaguchi, T; Yasuda, S, 2023)
"This study evaluated the efficacy of combined therapy with probucol and cilostazol on endothelial function in silent lacunar cerebral infarcts (SLCI) and mild hypercholesterolemia."5.19Combined therapeutic effect of probucol and cilostazol on endothelial function in patients with silent cerebral lacunar infarcts and hypercholesterolemia: a preliminary study. ( Hattori, H; Ishihara, M; Nagata, M; Takase, B; Tanaka, Y, 2014)
"Among patients with recent lacunar strokes, the addition of clopidogrel to aspirin did not significantly reduce the risk of recurrent stroke and did significantly increase the risk of bleeding and death."5.16Effects of clopidogrel added to aspirin in patients with recent lacunar stroke. ( Benavente, OR; Coffey, CS; Hart, RG; McClure, LA; Pearce, LA; Szychowski, JM, 2012)
"Clopidogrel combined with aspirin is routinely prescribed after coronary artery stenting, in patients with acute coronary syndromes, and recently to prevent stroke in patients with acute minor ischemic stroke and TIA."4.91Effect of addition of clopidogrel to aspirin on subdural hematoma: meta-analysis of randomized clinical trials. ( Bakheet, MF; Hart, RG; Pearce, LA, 2015)
"Patients with lacunar stroke and CMBs likely harbor a more advanced form of cerebral small vessel disease in need of efficacious therapeutic strategies."2.84Microbleeds in the Secondary Prevention of Small Subcortical Strokes Trial: Stroke, mortality, and treatment interactions. ( Anderson, DC; Bazan, C; Benavente, OR; Catanese, L; Hart, RG; Kase, CS; Marti-Fabregas, J; McClure, LA; Pearce, LA; Sharma, M; Shoamanesh, A, 2017)
"In patients with a recent lacunar stroke while taking ASA, the addition of clopidogrel did not result in reduction of vascular events vs continuing ASA only."2.79ASA failure: does the combination ASA/clopidogrel confer better long-term vascular protection? ( Anderson, DC; Benavente, OR; Côté, R; Hart, RG; McClure, LA; Talbert, RL; Zhang, Y, 2014)
"Among 1244 patients with lacunar stroke (mean age, 63."2.79C-reactive protein as a prognostic marker after lacunar stroke: levels of inflammatory markers in the treatment of stroke study. ( Benavente, OR; Coffey, CS; Del Brutto, OH; Elkind, MS; Luna, JM; McClure, LA; Meyer, BC; Pettigrew, LC; Pretell, EJ; Roldan, A; Tapia, J; White, C; Zhang, Y, 2014)
"Heat stroke is a life-threatening disease characterized by hyperthermia and neurological dysfunction."1.56Unusual manifestation of heat stroke: Isolated trochlear nerve palsy. ( Han, S; Kim, BK; Yum, KS, 2020)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's26 (86.67)24.3611
2020's4 (13.33)2.80

Authors

AuthorsStudies
Hou, X1
Cen, K1
Cui, Y1
Zhang, Y3
Feng, X1
Nishiyama, Y1
Kimura, K1
Otsuka, T1
Toyoda, K1
Uchiyama, S1
Hoshino, H1
Sakai, N1
Okada, Y1
Origasa, H1
Naritomi, H1
Houkin, K1
Yamaguchi, K1
Minematsu, K1
Matsumoto, M1
Tominaga, T1
Tomimoto, H1
Terayama, Y1
Yasuda, S1
Yamaguchi, T1
Berberich, A2
Schneider, C1
Herweh, C1
Hielscher, T1
Reiff, T1
Bendszus, M1
Gumbinger, C2
Ringleb, P1
Han, S1
Kim, BK1
Yum, KS1
Shoamanesh, A2
Pearce, LA7
Bazan, C2
Catanese, L1
McClure, LA6
Sharma, M3
Marti-Fabregas, J1
Anderson, DC5
Kase, CS1
Hart, RG8
Benavente, OR10
Hawkes, MA1
Braksick, SA1
Zhang, W2
Wijdicks, EFM1
Rabinstein, AA1
Kong, T1
Chen, J1
Sun, K1
Wang, J1
Song, L1
Wang, D1
Hui, R1
Ringleb, PA1
Gutierrez, J1
Wadiwala, MF1
Kamal, AK1
Opherk, C1
Takase, B1
Nagata, M1
Hattori, H1
Tanaka, Y1
Ishihara, M1
Côté, R1
Talbert, RL1
Castilla-Guerra, L1
Sacco, RL1
Elkind, MS1
Luna, JM1
Coffey, CS3
Roldan, A1
Del Brutto, OH1
Pretell, EJ1
Pettigrew, LC1
Meyer, BC1
Tapia, J2
White, C1
Markun, S1
Connolly, SJ1
Palacio, S1
Hillis, AE1
Jacova, C1
Bakheet, MF1
Kwok, CS1
Copley, HC1
Myint, PK1
Loke, YK1
Field, TS3
Asinger, RW1
Smyth, NG1
De, SK1
Spence, JD1
Rayner, BL1
Odden, MC1
Sawaya, BP1
White, CL1
Peralta, CA1
Pergola, PE1
Wilson, LK1
Arauz, A1
Benavente, O1
Szychowski, JM1
Giger, JN1
Brannon, CB1
Han, SW1
Lee, SS1
Kim, SH1
Lee, JH1
Kim, GS1
Kim, OJ1
Koh, IS1
Lee, JY1
Suk, SH1
Lee, SI1
Nam, HS1
Kim, WJ1
Yong, SW1
Lee, KY1
Park, JH1
Diener, HC1
Weber, R1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Low-dose Aspirin Therapy in Patients With Non-Cardioembolic Ischemic Stroke and Microbleeds[NCT04504864]Phase 4400 participants (Anticipated)Interventional2020-10-01Recruiting
Secondary Prevention of Small Subcortical Strokes (SPS3) Trial[NCT00059306]Phase 33,020 participants (Actual)Interventional2003-02-28Completed
Study for the Multi-Center Placebo-Controlled Double-Blind Clinical Trial for the Evaluation of the Effect of Cilostazol on Pulsatility Index of Transcranial Doppler in the Acute Lacunar Infarction Patients[NCT00741286]Phase 4203 participants (Actual)Interventional2006-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Patients With First Recurrent Stroke of Any Type

(NCT00741286)
Timeframe: 90 days

Interventionparticipants (Number)
Asprin Plus Placebo1
Asprin Plus Cilostazol1

The Changes of Middle Cerebral Artery (MCA) and Basilar Artery (BA) Pulsatility Index (PI) at 14 and 90 Days From the Baseline Transcranial Doppler (TCD) Study

The PI is designed to measure vascular resistance and characterizes the shape of the spectral waveform. For the study, the mean, systolic, and diastolic flow velocities were measured using TCD. Gosling's PI was determined as the difference between the peak systolic and end-diastolic velocities divided by the mean flow velocity in each artery.The changes of MCA and BA PIs at 14 and 90 days from the baseline TCD study was calculated for the study. (NCT00741286)
Timeframe: 14 days and 90 days from the baseline TCD study

,
Interventionratio (Mean)
Changes of PI in Right MCA (14 days)Changes of PI in Right MCA (90 days)Changes of PI in Left MCA (14 days)Changes of PI in Left MCA (90 days)Changes of PI in BA (14 days)Changes of PI in BA (90 days)
Asprin Plus Cilostazol0.080.140.10.130.090.18
Asprin Plus Placebo0.070.090.080.070.090.1

Reviews

3 reviews available for aspirin and Infarct, Lacunar

ArticleYear
Antiplatelet therapy for secondary prevention of lacunar stroke: a systematic review and network meta-analysis.
    European journal of clinical pharmacology, 2023, Volume: 79, Issue:1

    Topics: Aspirin; Cilostazol; Clopidogrel; Drug Therapy, Combination; Humans; Network Meta-Analysis; Platelet

2023
Effect of addition of clopidogrel to aspirin on subdural hematoma: meta-analysis of randomized clinical trials.
    International journal of stroke : official journal of the International Stroke Society, 2015, Volume: 10, Issue:4

    Topics: Acute Coronary Syndrome; Aged; Aspirin; Atrial Fibrillation; Clopidogrel; Drug Therapy, Combination;

2015
Efficacy of antiplatelet therapy in secondary prevention following lacunar stroke: pooled analysis of randomized trials.
    Stroke, 2015, Volume: 46, Issue:4

    Topics: Aged; Aspirin; Drug Therapy, Combination; Female; Humans; Male; Middle Aged; Placebos; Platelet Aggr

2015

Trials

14 trials available for aspirin and Infarct, Lacunar

ArticleYear
Dual Antiplatelet Therapy With Cilostazol for Secondary Prevention in Lacunar Stroke: Subanalysis of the CSPS.com Trial.
    Stroke, 2023, Volume: 54, Issue:3

    Topics: Aged; Aspirin; Cilostazol; Clopidogrel; Drug Therapy, Combination; Female; Hemorrhage; Humans; Male;

2023
Microbleeds in the Secondary Prevention of Small Subcortical Strokes Trial: Stroke, mortality, and treatment interactions.
    Annals of neurology, 2017, Volume: 82, Issue:2

    Topics: Aspirin; Cerebral Hemorrhage; Clopidogrel; Double-Blind Method; Female; Humans; Magnetic Resonance I

2017
Combined therapeutic effect of probucol and cilostazol on endothelial function in patients with silent cerebral lacunar infarcts and hypercholesterolemia: a preliminary study.
    Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2014, Volume: 23, Issue:1

    Topics: Aged; Aged, 80 and over; Aspirin; Cardiovascular Agents; Cholinergic Antagonists; Cilostazol; Drug T

2014
ASA failure: does the combination ASA/clopidogrel confer better long-term vascular protection?
    Neurology, 2014, Feb-04, Volume: 82, Issue:5

    Topics: Aged; Aspirin; Clopidogrel; Cohort Studies; Double-Blind Method; Drug Therapy, Combination; Female;

2014
C-reactive protein as a prognostic marker after lacunar stroke: levels of inflammatory markers in the treatment of stroke study.
    Stroke, 2014, Volume: 45, Issue:3

    Topics: Aged; Antihypertensive Agents; Aspirin; Biomarkers; Blood Pressure; C-Reactive Protein; Clopidogrel;

2014
Predictors of mortality in patients with lacunar stroke in the secondary prevention of small subcortical strokes trial.
    Stroke, 2014, Volume: 45, Issue:10

    Topics: Aged; Aspirin; Clopidogrel; Drug Therapy, Combination; Female; Hemorrhage; Humans; Male; Middle Aged

2014
Effects of long-term blood pressure lowering and dual antiplatelet treatment on cognitive function in patients with recent lacunar stroke: a secondary analysis from the SPS3 randomised trial.
    The Lancet. Neurology, 2014, Volume: 13, Issue:12

    Topics: Aged; Aspirin; Blood Pressure; Clopidogrel; Cognition; Double-Blind Method; Drug Therapy, Combinatio

2014
Left Ventricular Geometry on Transthoracic Echocardiogram and Prognosis after Lacunar Stroke: The SPS3 Trial.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2015, Volume: 24, Issue:6

    Topics: Aged; Aspirin; Clopidogrel; Echocardiography; Female; Heart Ventricles; Humans; Magnetic Resonance I

2015
Achieved Blood Pressure and Outcomes in the Secondary Prevention of Small Subcortical Strokes Trial.
    Hypertension (Dallas, Tex. : 1979), 2016, Volume: 67, Issue:1

    Topics: Aspirin; Blood Pressure; Blood Pressure Determination; Clopidogrel; Drug Therapy, Combination; Femal

2016
Morphological classification of penetrating artery pontine infarcts and association with risk factors and prognosis: The SPS3 trial.
    International journal of stroke : official journal of the International Stroke Society, 2016, Volume: 11, Issue:4

    Topics: Antihypertensive Agents; Aspirin; Cerebral Infarction; Clopidogrel; Constriction, Pathologic; Double

2016
[Branch atheromatous disease: prognosis and management. The SPS3 experience].
    Rinsho shinkeigaku = Clinical neurology, 2011, Volume: 51, Issue:11

    Topics: Aspirin; Basilar Artery; Clopidogrel; Humans; Platelet Aggregation Inhibitors; Stroke; Stroke, Lacun

2011
Effects of clopidogrel added to aspirin in patients with recent lacunar stroke.
    The New England journal of medicine, 2012, Aug-30, Volume: 367, Issue:9

    Topics: Aspirin; Clopidogrel; Double-Blind Method; Drug Therapy, Combination; Female; Follow-Up Studies; Hem

2012
Effect of cilostazol in acute lacunar infarction based on pulsatility index of transcranial Doppler (ECLIPse): a multicenter, randomized, double-blind, placebo-controlled trial.
    European neurology, 2013, Volume: 69, Issue:1

    Topics: Aged; Aspirin; Cilostazol; Double-Blind Method; Drug Therapy, Combination; Female; Humans; Male; Mid

2013
Clopidogrel added to aspirin adds no benefit but bleeding risk in patients with recent lacunar stroke.
    Stroke, 2013, Volume: 44, Issue:3

    Topics: Aspirin; Clopidogrel; Dose-Response Relationship, Drug; Double-Blind Method; Drug Therapy, Combinati

2013

Other Studies

13 other studies available for aspirin and Infarct, Lacunar

ArticleYear
Risk factors associated with progressive lacunar strokes and benefit from dual antiplatelet therapy.
    European journal of neurology, 2020, Volume: 27, Issue:5

    Topics: Aged; Aspirin; Female; Humans; Magnetic Resonance Imaging; Male; Platelet Aggregation Inhibitors; Pr

2020
Unusual manifestation of heat stroke: Isolated trochlear nerve palsy.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2020, Volume: 29, Issue:10

    Topics: Aged; Aspirin; Cerebral Infarction; Fibrinolytic Agents; Heat Stroke; Humans; Male; Mesencephalon; R

2020
Can we stop the stuttering in stroke? Interventions in 40 patients with acute lacunes.
    Journal of the neurological sciences, 2019, Jun-15, Volume: 401

    Topics: Aspirin; Blood Pressure; Clopidogrel; Cohort Studies; Drug Therapy, Combination; Female; Humans; Mal

2019
Aspirin reduced recurrent stroke risk in patients with lacunar stroke.
    Acta neurologica Scandinavica, 2019, Volume: 140, Issue:1

    Topics: Adult; Aged; Aspirin; Cohort Studies; Female; Humans; Kaplan-Meier Estimate; Male; Middle Aged; Plat

2019
Response by Berberich et al to Letters Regarding Article, "Dual Antiplatelet Therapy Improves Functional Outcome in Patients With Progressive Lacunar Strokes".
    Stroke, 2019, Volume: 50, Issue:7

    Topics: Aspirin; Dual Anti-Platelet Therapy; Humans; Platelet Aggregation Inhibitors; Stroke; Stroke, Lacuna

2019
Letter by Gutierrez Regarding Article, "Dual Antiplatelet Therapy Improves Functional Outcome in Patients With Progressive Lacunar Strokes".
    Stroke, 2019, Volume: 50, Issue:7

    Topics: Aspirin; Dual Anti-Platelet Therapy; Humans; Platelet Aggregation Inhibitors; Stroke; Stroke, Lacuna

2019
My patient had a small vessel stroke, are two antiplatelet agents better than one?
    JPMA. The Journal of the Pakistan Medical Association, 2013, Volume: 63, Issue:4

    Topics: Aspirin; Clopidogrel; Drug Therapy, Combination; Female; Humans; Male; Middle Aged; Platelet Aggrega

2013
[Not Available].
    Fortschritte der Neurologie-Psychiatrie, 2013, Volume: 81, Issue:6

    Topics: Aspirin; Female; Humans; Male; Platelet Aggregation Inhibitors; Stroke, Lacunar; Ticlopidine

2013
Treating lacunar strokes occurring on aspirin: adding clopidogrel is not the simple solution.
    Neurology, 2014, Feb-04, Volume: 82, Issue:5

    Topics: Aspirin; Clopidogrel; Female; Humans; Male; Neuroprotective Agents; Platelet Aggregation Inhibitors;

2014
[Adding clopidogrel after stroke while on aspirin-does not help, only hurts].
    Praxis, 2014, Jun-04, Volume: 103, Issue:12

    Topics: Aspirin; Female; Humans; Male; Neuroprotective Agents; Platelet Aggregation Inhibitors; Stroke, Lacu

2014
Blood pressure control after stroke: too little, too late, or too soon to tell?
    The Lancet. Neurology, 2014, Volume: 13, Issue:12

    Topics: Aspirin; Blood Pressure; Clopidogrel; Cognition; Female; Humans; Male; Platelet Aggregation Inhibito

2014
J Curve and Cuff Artefact, and Diagnostic Inertia in Resistant Hypertension.
    Hypertension (Dallas, Tex. : 1979), 2016, Volume: 67, Issue:1

    Topics: Aspirin; Blood Pressure; Female; Humans; Hypertension; Male; Secondary Prevention; Stroke, Lacunar;

2016
African-Americans and strokes: minutes and hours make the difference.
    Journal of National Black Nurses' Association : JNBNA, 2011, Volume: 22, Issue:2

    Topics: Aspirin; Black or African American; Female; Fibrinolytic Agents; Foramen Ovale, Patent; Health Statu

2011