Thrombolysis Safe in Stroke Patients on Oral Anticoagulants

Thrombolysis Safe in Stroke Patients on Oral Anticoagulants

Kelli Whitlock Burton

May 23, 2022

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Intravenous thrombolysis (IVT) for acute stroke appears safe for patients who have recently received direct oral anticoagulant (DOAC) therapy, a new observational study suggests, prompting researchers to ask whether guidelines that restrict its use should be updated.

Researchers found that DOAC users were significantly less likely to develop symptomatic intracerebral hemorrhage (sICH) after IVT, and there was no difference in functional independence at 3 months compared to patients who received IVT but who did not receive DOAC.

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