• Surg Neurol · Jul 1978

    Randomized Controlled Trial Clinical Trial

    Tranexamic acid in the preoperative management of ruptured intracranial aneurysms.

    • H Fodstad, B Liliequist, M Schannong, and C A Thulin.
    • Surg Neurol. 1978 Jul 1; 10 (1): 9-15.

    AbstractA randomized, controlled clinical trial was carried out to study the effect of tranexamic acid (AMCA, trans-AMCHA) in prevention of early rebleeding after proven rupture of an intracranial aneurysm. The series comprises 46 patients admitted to the hospital within three days after the first bleeding. Twenty-three were treated with tranexamic acid and 23 were controls. Nine patients in the control group and one in the group treated with tranexamic acid had confirmed rebleeding. The incidence of vasospasm, cerebral ischemia and hydrocephalus as well as mortality and morbidity is discussed.

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