Key PointsQuestionWhat is the recurrent stroke risk after carotid and vertebral artery dissection, and are antiplatelets or anticoagulants more effective at reducing this risk? FindingsIn this randomized clinical trial, risk of recurrent stroke at 1 year was 2.5%, and there was no difference in recurrence rates or rates of angiographic recanalization with antiplatelets or anticoagulants. MeaningThe risk of recurrent stroke after carotid and vertebral dissection is low; there was no evidence that antiplatelets or anticoagulants were more effective at reducing this risk.
JAMA Neurology – American Medical Association
Published: Jun 25, 2019
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