Early Antiplatelet Therapy After Hemorrhagic Infarction in Acute Ischemic Stroke Treated With Intravenous Thrombolysis (HITs)

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorSecond Affiliated Hospital, School of Medicine, Zhejiang University

About this trial

Previous study showed that the proportions of hemorrhagic Infarction after intravenous thrombolysis were 24.2% and 32.5% in the control group and the alteplase group, and most of them were asymptomatic. Hemorrhagic Infarction was a part of the natural progression after acute ischemic stroke. Previous study have shown no significant relationship between hemorrhagic Infarction and poor outcome in acute ischemic stroke (AIS) patients. In this study, a randomized controlled trial will be conducted to explore the efficacy and safety of early antiplatelet therapy after hemorrhagic infarction in acute ischemic stroke treated with intravenous thrombolysis.

Eligibility criteria

Qualifiers

Acute ischemic patients receiving intravenous thrombolysis within 24 hours upon stroke onset

Be confirmed as Hemorrhagic Infarction at 24 to 36 hours after intravenous thrombolysis by computerized tomography

The patient or family member signed an informed consent

Disqualifiers

Early use of anticoagulant drugs within 1 week after intravenous thrombolysis;

Tirofiban was used after receiving endovascular treatment;

Intraoperative stent placement after receiving endovascular treatment;

Subarachnoid hemorrhage or ventricular hemorrhage;

Trial design

Treatments tested in this trial

  • Early aspirin Therapy
  • Non-Early aspirin Therapy

Treatment groups

294 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Second Affiliated Hospital, School of Medicine, Zhejiang University

Lead sponsor

Shaoxing People's Hospital

Collaborator

Affiliated Hospital of Jiaxing University

Collaborator

Huzhou Central Hospital

Collaborator

The Second Affiliated Hospital of Jiaxing University

Collaborator

Jinhua Central Hospital

Collaborator

Taizhou Hospital

Collaborator

Ningbo Medical Center Lihuili Hospital

Collaborator

Ningbo No.2 Hospital

Collaborator

Lishui Country People's Hospital

Collaborator

Wenzhou Central Hospital

Collaborator

The Fourth Affiliated Hospital of Zhejiang University School of Medicine

Collaborator

Shenzhen Second People's Hospital

Collaborator

The Affiliated Hospital of Xuzhou Medical University

Collaborator