Cerebral Amyloid Angiopathy and the Fibrinolytic System: Is Plasmin a Therapeutic Target?

Chloe A. Mutimer, Charithani B. Keragala, Hugh S. Markus, David J. Werring, Geoffrey C. Cloud, Robert L. Medcalf

Research output: Contribution to journalReview ArticleOtherpeer-review

10 Citations (Scopus)

Abstract

Cerebral amyloid angiopathy is a devastating cause of intracerebral hemorrhage for which there is no specific secondary stroke prevention treatment. Here we review the current literature regarding cerebral amyloid angiopathy pathophysiology and treatment, as well as what is known of the fibrinolytic pathway and its interaction with amyloid. We postulate that tranexamic acid is a potential secondary stroke prevention treatment agent in sporadic cerebral amyloid angiopathy, although further research is required

Original languageEnglish
Pages (from-to)2707-2714
Number of pages8
JournalStroke
Volume52
Issue number8
DOIs
Publication statusPublished - Aug 2021

Keywords

  • cerebral amyloid angiopathy
  • cerebral hemorrhage
  • fibrinolysis
  • thrombolytic therapy
  • tranexamic acid

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