Effects of intravenous human albumin, enteral cilostazol, and combination therapy on the reduction of delayed cerebral ischemia in patients with aneurysmal subarachnoid hemorrhage - Takeaways - MDSpire

Effects of intravenous human albumin, enteral cilostazol, and combination therapy on the reduction of delayed cerebral ischemia in patients with aneurysmal subarachnoid hemorrhage

  • By

  • Adnan I. Qureshi

  • Hassan Raza

  • Jonathan Beall

  • Byron Gajewski

  • Renee H. Martin

  • Jose I. Suarez

  • July 16, 2026

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  • 1

    Delayed cerebral ischemia (DCI) and cerebral infarction are significant causes of disability and death after aneurysmal subarachnoid hemorrhage (aSAH).

  • 2

    The study estimated the effects of intravenous human albumin, enteral cilostazol, and their combination on reducing DCI using Bayesian prior-predictive simulation.

  • 3

    Median absolute risk reductions for DCI were 9.1% for albumin, 18.1% for cilostazol, and 21.7% for combination therapy compared to control.

  • 4

    The incremental benefit of adding albumin to cilostazol was small and uncertain, with an estimated increase of only 3.5 percentage points.

  • 5

    The findings suggest the need for continued randomized evaluation of cilostazol and albumin to estimate their effects on DCI.

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