Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Getting new auth cookie, if you see this message a lot, tell someone!
Research ArticleNeurointervention

Preinterventional Clopidogrel Response Variability for Coil Embolization of Intracranial Aneurysms: Clinical Implications

H.-S. Kang, B.J. Kwon, J.E. Kim and M.H. Han
American Journal of Neuroradiology August 2010, 31 (7) 1206-1210; DOI: https://doi.org/10.3174/ajnr.A2051
H.-S. Kang
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
B.J. Kwon
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.E. Kim
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
M.H. Han
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1:

    Patients' clinical and laboratory characteristics (n = 186)a

    Characteristic
    Sex, male/female57:129 (1:2.3)
    Age (yr)58.3 ± 10.2
    Body weight (Kg)63.6 ± 10.7
    Hypertension94 (51%)
    Diabetes mellitus15 (8%)
    Statin use31 (17%)
    Smoking
        Smoker36 (19%)
        Nonsmoker150 (81%)
    Alcohol intake36 (19%)
    Hematocrit level (%)38.2 ± 4.3
    Platelet count (×103/μL)227 ± 60
    Total cholesterol level (mg/dL)181.1 ± 36.8
    Triglyceride level (mg/dL)150.3 ± 85.6
    HDL cholesterol level (mg/dL)51.1 ± 17.5
    LDL cholesterol level (mg/dL)109.0 ± 32.5
    Mode of medication
        CPG loading (300 mg) only136 (73%)
        Previous other antiplatelet medication plus CPG loading29 (16%)
        Continued CPG medication without loading21 (11%)
    • a All the continuous variables are presented as mean ± SD.

    • View popup
    Table 2:

    Frequency of procedure-related adverse events according to PRU

    Quartile (No.)PRUThromboembolic EventsProcedure-Related Aneurysmal PerforationsAll Procedure-Related Adverse Events
    1st (47)<2402 (4.3%)1 (2.1%)3 (6.4%)
    2nd (46)240–2841 (2.2%)0 (0%)1 (2.2%)
    3rd (46)285–3323 (6.5%)0 (0%)3 (6.5%)
    4th (47)>3328 (17.0%)2 (4.3%)10 (21.3%)
    P valuea.013.605.009
    • a χ2 test for trends.

    • View popup
    Table 3:

    Relations between patients' characteristics and PRUa

    Clinical and Laboratory VariablesPPRU
    Sex (male)<.001244 ± 68 vs 291 ± 78
    Age (younger than 65 years).028268 ± 80 vs 295 ± 72
    Body weight (≥60 Kg).031267 ± 78 vs 292 ± 76
    CPG medication (≥7 days).003230 ± 96 vs 283 ± 74
    Combination antiplatelet medication (yes).175263 ± 83 vs 281 ± 76
    Hypertension (no).745275 ± 78 vs 278 ± 78
    Diabetes mellitus (yes).184251 ± 99 vs 279 ± 76
    Statin use (no).198274 ± 78 vs 293 ± 77
    Smoking status (current or past smoker).071256 ± 73 vs 282 ± 79
    Alcohol intake (yes).157260 ± 76 vs 280 ± 78
    Hematocrit level (≥38%).008263 ± 73 vs 293 ± 81
    Platelet count (<227 × 103/μL).562274 ± 80 vs 280 ± 76
    Total cholesterol level (<200 mg/dL).232273 ± 80 vs 288 ± 71
    HDL cholesterol level (≥40 mg/dL).225275 ± 79 vs 292 ± 69
    LDL cholesterol level (≥130 mg/dL).608273 ± 75 vs 280 ± 78
    Triglyceride level (<200 mg/dL).091274 ± 77 vs 299 ± 72
    Procedure-related thromboembolism (no).061274 ± 78 vs 318 ± 54
    • a A group of patients denoted within the parentheses showed decreased residual platelet activity.

    • View popup
    Table 4:

    CPG therapy monitoring results according to the mode of administration

    Mode of AdministrationBASEPRUPercentage Inhibition
    CPG loading (300 mg) only, 136 (73%)360.8 ± 51.8285.2 ± 71.620.6 ± 18.4
    Previous other antiplatelet medication plus CPG loading (300 mg), 29 (16%)358.8 ± 63.0271.7 ± 82.924.5 ± 19.2
    Continued CPG medication for ≥7 days without loading, 21 (11%)371.9 ± 45.1230.0 ± 96.237.4 ± 26.3
    P valuea.6388.0091b.0013b
    • a One-way ANOVA.

    • b There was a significant difference between the first group and the third group on the Tukey-Kramer multiple comparison test (P < .01).

    • View popup
    Table 5:

    Results of regression analysis for variables related to high PRU (>332)

    VariablesP Value
    Simple Logistic Regression AnalysisMultiple Logistic Regression Analysisa
    Gender.001.014
    Age.241
    Body weight.009.547
    Mode of CPG medication.096.086
    Combination therapy.255
    Hypertension.800
    Diabetes mellitus.626
    Statin use.598
    Smoking.088.114
    Alcohol intake.373
    Hematocrit level.049.169
    Platelet count.058.141
    Total cholesterol level.443
    Triglyceride level.159
    HDL cholesterol level.287
    LDL cholesterol level.499
    • a Variables with P < 0.10 were entered into multivariate analysis to determine their independent association with high PRU.

PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 31 (7)
American Journal of Neuroradiology
Vol. 31, Issue 7
1 Aug 2010
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Preinterventional Clopidogrel Response Variability for Coil Embolization of Intracranial Aneurysms: Clinical Implications
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
H.-S. Kang, B.J. Kwon, J.E. Kim, M.H. Han
Preinterventional Clopidogrel Response Variability for Coil Embolization of Intracranial Aneurysms: Clinical Implications
American Journal of Neuroradiology Aug 2010, 31 (7) 1206-1210; DOI: 10.3174/ajnr.A2051

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Preinterventional Clopidogrel Response Variability for Coil Embolization of Intracranial Aneurysms: Clinical Implications
H.-S. Kang, B.J. Kwon, J.E. Kim, M.H. Han
American Journal of Neuroradiology Aug 2010, 31 (7) 1206-1210; DOI: 10.3174/ajnr.A2051
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • Abbreviations
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Roles of light transmission aggregometry and CYP2C19 genotype in predicting ischaemic complications during interventional therapy for intracranial aneurysms
  • The inhibition rate estimated using VerifyNow can help to predict the thromboembolic risk of coil embolization for unruptured intracranial aneurysms
  • Ticagrelor resistance: a case series and algorithm for management of non-responders
  • Safety of Oral P2Y12 Inhibitors in Interventional Neuroradiology: Current Status and Perspectives
  • Intravenous cangrelor and oral ticagrelor as an alternative to clopidogrel in acute intervention
  • Selective compromise of hypoplastic posterior communicating artery variants with aneurysms treatable by coil embolization: clinical and radiologic outcomes
  • Stent-assisted coil embolization of anterior communicating artery aneurysms: safety, effectiveness, and risk factors for procedural complications or recanalization
  • Relationship between adverse events and antiplatelet drug resistance in neurovascular intervention: a meta-analysis
  • Prophylactic Antiplatelet Medication in Endovascular Treatment of Intracranial Aneurysms: Low-Dose Prasugrel versus Clopidogrel
  • Relationship between low response to clopidogrel and periprocedural ischemic events with coil embolization for intracranial aneurysms
  • Association between Postprocedural Infarction and Antiplatelet Drug Resistance after Coiling for Unruptured Intracranial Aneurysms
  • Endovascular Treatment of Unruptured Paraclinoid Aneurysms: Single-Center Experience with 400 Cases and Literature Review
  • Clopidogrel Resistance in Neurovascular Stenting: Correlations between Light Transmission Aggregometry, VerifyNow, and the Multiplate
  • Incidence and Risk Factors for Diffusion-Weighted Imaging (+) Lesions After Intracranial Stenting and Its Relationship With Symptomatic Ischemic Complications
  • Thromboembolic Complications in Patients with Clopidogrel Resistance after Coil Embolization for Unruptured Intracranial Aneurysms
  • Stent-Assisted Coil Embolization of Posterior Communicating Artery Aneurysms
  • Prevention of stent thrombosis with reduced dose of prasugrel in two patients undergoing treatment of cerebral aneurysms with pipeline embolisation devices
  • Prevention of stent thrombosis with reduced dose of prasugrel in two patients undergoing treatment of cerebral aneurysms with pipeline embolisation devices
  • Endovascular Treatment of Wide-Neck Intracranial Aneurysms Using a Microcatheter Protective Technique: Results and Outcomes in 75 Aneurysms
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • A Retrospective Study in Tentorial DAVFs
  • Proximal Protection Devices for Carotid Stenting
  • Contour Neurovascular System: Five Year Follow Up
Show more NEUROINTERVENTION

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire