Management of acute stroke in patients taking novel oral anticoagulants

Graeme J. Hankey, B. Norrving, W. Hacke, T.H. Steiner

    Research output: Contribution to journalReview article

    45 Citations (Scopus)

    Abstract

    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. © 2014 The Authors. International Journal of Stroke published by John Wiley & Sons Ltd on behalf of World Stroke Organization.
    Original languageEnglish
    Pages (from-to)627-632
    JournalInternational Journal of Stroke
    Volume9
    Issue number5
    DOIs
    Publication statusPublished - Jul 2014

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