Management of acute stroke in patients taking novel oral anticoagulants

© 2014 The Authors. International Journal of Stroke published by John Wiley & Sons Ltd on behalf of World Stroke Organization..

Each year, 1·0-2·0% of individuals with atrial fibrillation and 0·1-0·2% of those with venous thromboembolism who are receiving one of the novel oral anticoagulants (dabigatran, rivaroxaban, or apixaban) can be expected to experience an acute ischemic stroke. Additionally, 0·2-0·5% of individuals with atrial fibrillation who are receiving one of the novel oral anticoagulants can be expected to experience an intracranial hemorrhage. This opinion piece addresses the current literature and offers practical approaches to the management of patients receiving novel oral anticoagulants who present with an ischemic or hemorrhagic stroke. Specifically, we discuss the role of thrombolysis in anticoagulated patients with acute ischemic stroke and factors to consider concerning restarting anticoagulation after acute ischemic and hemorrhagic stroke.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

International journal of stroke : official journal of the International Stroke Society - 9(2014), 5 vom: 18. Juli, Seite 627-32

Sprache:

Englisch

Beteiligte Personen:

Hankey, Graeme J [VerfasserIn]
Norrving, Bo [VerfasserIn]
Hacke, Werner [VerfasserIn]
Steiner, Thorsten [VerfasserIn]

Links:

Volltext

Themen:

Acute stroke
Anticoagulants
Intracerebral hemorrhage
Journal Article
Review
Secondary prevention
Thrombolytic therapy

Anmerkungen:

Date Completed 23.01.2015

Date Revised 21.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/ijs.12295

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM238817709