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Apr 28, 2021 Clinical/MRI outcomes more frequent with aspirin, non-inferiority to vitamin K antagonists not shown TREAT-CAD results did not establish the non-inferiority of aspirin versus vitamin K antagonists in the treatment of cervical artery dissection. Further, researchers found that patients treated with aspirin experienced more ischemic strokes, more subclinical ischemic MRI lesions, and more hemorrhagic MRI lesions. “The evidence to consider aspirin as the standard of care in patients with cervical artery dissection is weak. Currently, it does not seem justified to replace the traditional standard treatment (anticoagulation) with aspirin, although the superiority of anticoagulation has also not been shown,” Stefan T. Engelter, MD, of the University Hospital Basel and the University Hospital for Geriatric Medicine Felix Platter, University of Basel, Basel, Switzerland, and co-authors wrote in

University of pennsylvaniaUnited statesStefant engelterScotte kasnerLiz meszarosAcademic society baselUniversity hospital for geriatric medicine felix platterSwiss national science foundationUniversity of baselUniversity hospital baselSwiss heart foundationUniversity hospitalGeriatric medicine felix platterDeputy managing editorStroke funds baselAcademic society