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Intravenous thrombolysis is considered as the first choice for ischemic stroke. In the recent years, endovascular therapy is demonstrated to be effective to treat ischemic with big vessel occlusion. However, only a minority of patients can get intravenous thrombolysis or endovascular therapy due to the restricted time window and strict indications. Dual antiplatelet has been demonstrated to be effective in the patients with high risk of TIA or minor ischemic stroke (NIHSS<4). But there is still stroke progression although dual antiplatelet. The ischemic stroke patients with NIHSS > 3 has been recommended to give aspirin in most guidelines. Of those patients, mild to moderate stroke patients (3\
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Argatroban combined with antiplatelet | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Argatroban plus dual antiplatelet | Drug | A continuous argatroban infusion of 1.0 ug/kg per minute for 2-5 days adjusted to a target activated partial thromboplastin time of 1.75 X baseline (about 10%). For the first day, clopidogrel with loading dose 300mg, and aspirin 100mg were given, and followed by clopidogrel 75 mg and aspirin 100mg each day |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of 1 or more increase in NIHSS | early neurological deterioration is defined as 1 or more increase in NIHSS | 7 days |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of mRS 0-1 | the excellent outcome is defined as modifed Rankin Score (mRS) 0-1 at 90 day | 90±7 days |
| Proportion of mRS 0-2 | the good outcome is defined as modifed Rankin Score (mRS) 0-2 at 90 day |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Hospital of Shenyang Military Region | Shenyang | Liaoning | 10016 | China |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| C031942 | argatroban |
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|
| 90±7 days |
| proportion of intracranial haemorrhages | intracranial hemorrhage was defined as acute extravasation of blood into the brain parenchyma or subarachnoid space with associated neurologic symptoms | 90±7 days |
| proportion of organs hemorrhage | including gastrointestinal bleeding and mucocutaneous hemorrhage | 90±7 days |
| death | death due to any cause | 90±7 days |
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |