ISCHEMIC STROKE / ACUTE THERAPY
Recanalization therapy in anticoagulated patients
Created 11/11/2021, last revision 23/12/2022
Intravenous thrombolysis
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Mechanical recanalization
- in mechanical thrombectomy (MT), the use of anticoagulants or thrombocytopenia are not a contraindication to the procedure; the benefit is clear in proximal occlusions
- MT can be performed in patients using DOACs without antidote administration [Diener, 2017]
- some data suggest, there is a higher risk of sICH and higher mortality in patients using warfarin (not DOACs) [Meinel, 2020]
- MT cannot be combined with IA thrombolysis in patients on anticoagulant therapy