Warfarin also helps prevent reformation of blood clots. Because warfarin is slow-acting, heparin may be injected for more rapid action. However, t-PA isn't for everyone who has a stroke. T-PA is valuable only within three hours of stroke onset. Your doctor also may prescribe aspirin, clopidogrel or Coumadin to help reduce the chance of clots forming,, You may also need surgery.
Treatment is complex and individualized.
However, part of therapy typically involves limiting fluids and giving medications to minimize swelling of brain tissue. Rarely, surgery is needed to drain clots of pooled blood from within the area of damaged brain tissue. Repairing an aneurysm. If an aneurysm is detected by an imaging scan, your surgeon may clamp the aneurysm at its base. Or, a catheter containing a platinum coil is passed through a blood vessel in your groin, reaching the aneurysm.