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Thrombolysis for ischaemic stroke despite direct oral anticoagulation.

Publication ,  Journal Article
Purrucker, JC; Meinel, TR; Wilson, D; Xian, Y; Wu, TY; Seiffge, DJ
Published in: Stroke Vasc Neurol
November 5, 2024

Intravenous thrombolysis is not recommended in anticoagulated patients receiving direct oral anticoagulants (DOACs) and a recent intake within the last 48 hours in US and European guidelines. However, three observational studies now suggest safety of thrombolysis in patients with recent intake of DOACs, and thus support previous experimental data. In this perspective, the current evidence and practical consequences are discussed.

Duke Scholars

Published In

Stroke Vasc Neurol

DOI

EISSN

2059-8696

Publication Date

November 5, 2024

Volume

9

Issue

5

Start / End Page

464 / 466

Location

England

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Thrombolytic Therapy
  • Risk Factors
  • Risk Assessment
  • Ischemic Stroke
  • Humans
  • Hemorrhage
  • Fibrinolytic Agents
  • Clinical Decision-Making
 

Citation

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ICMJE
MLA
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Purrucker, J. C., Meinel, T. R., Wilson, D., Xian, Y., Wu, T. Y., & Seiffge, D. J. (2024). Thrombolysis for ischaemic stroke despite direct oral anticoagulation. Stroke Vasc Neurol, 9(5), 464–466. https://doi.org/10.1136/svn-2023-002727
Purrucker, Jan C., Thomas R. Meinel, Duncan Wilson, Ying Xian, Teddy Y. Wu, and David J. Seiffge. “Thrombolysis for ischaemic stroke despite direct oral anticoagulation.Stroke Vasc Neurol 9, no. 5 (November 5, 2024): 464–66. https://doi.org/10.1136/svn-2023-002727.
Purrucker JC, Meinel TR, Wilson D, Xian Y, Wu TY, Seiffge DJ. Thrombolysis for ischaemic stroke despite direct oral anticoagulation. Stroke Vasc Neurol. 2024 Nov 5;9(5):464–6.
Purrucker, Jan C., et al. “Thrombolysis for ischaemic stroke despite direct oral anticoagulation.Stroke Vasc Neurol, vol. 9, no. 5, Nov. 2024, pp. 464–66. Pubmed, doi:10.1136/svn-2023-002727.
Purrucker JC, Meinel TR, Wilson D, Xian Y, Wu TY, Seiffge DJ. Thrombolysis for ischaemic stroke despite direct oral anticoagulation. Stroke Vasc Neurol. 2024 Nov 5;9(5):464–466.

Published In

Stroke Vasc Neurol

DOI

EISSN

2059-8696

Publication Date

November 5, 2024

Volume

9

Issue

5

Start / End Page

464 / 466

Location

England

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Thrombolytic Therapy
  • Risk Factors
  • Risk Assessment
  • Ischemic Stroke
  • Humans
  • Hemorrhage
  • Fibrinolytic Agents
  • Clinical Decision-Making