Intracerebral Hemorrhage Formation Under Direct Oral Anticoagulants

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Outcome of intracerebral hemorrhage associated with different oral anticoagulants

OBJECTIVE In an international collaborative multicenter pooled analysis, we compared mortality, functional outcome, intracerebral hemorrhage (ICH) volume, and hematoma expansion (HE) between non-vitamin K antagonist oral anticoagulation-related ICH (NOAC-ICH) and vitamin K antagonist-associated ICH (VKA-ICH). METHODS We compared all-cause mortality within 90 days for NOAC-ICH and VKA-ICH usin...

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Volume and Characteristics of Intracerebral Hemorrhage with Direct Oral Anticoagulants in Comparison with Warfarin

BACKGROUND Patients undergoing anticoagulation therapy often experience intracerebral hemorrhages (ICHs), and warfarin in particular is known to increase hematoma expansion in ICHs, which results in a poor outcome. Recent studies reported that, in comparison with warfarin, direct oral anticoagulants (DOACs) cause fewer ICHs with better functional outcome. However, since it is still unknown whet...

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Off-Label Use of Direct Oral Anticoagulants in Intracerebral Hemorrhage Patients With Prosthetic Valves.

In this patient, the conventional treatment approach would be to place him back on a vitamin K antagonist (VKA) once the hemorrhage has stabilized and then recommend close monitoring of the international normalized ratio (INR) in the future. However, at times, an unconventional treatment strategy may be best for the patient. In this patient scenario, there are several facts to consider. First, ...

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Comparing intracerebral hemorrhages associated with direct oral anticoagulants or warfarin

OBJECTIVES This cross-sectional survey explored the characteristics and outcomes of direct oral anticoagulant (DOAC)-associated nontraumatic intracerebral hemorrhages (ICHs) by analyzing a large nationwide Japanese discharge database. METHODS We analyzed data from 2,245 patients who experienced ICHs while taking anticoagulants (DOAC: 227; warfarin: 2,018) and were urgently hospitalized at 621...

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Reversal of direct oral anticoagulants

Reversal agents for direct oral anticoagulants (DOACs), including factor X inhibitors and direct thrombin inhibitors, are a major concern in clinical practice. After DOACs were introduced and became widely used as an alternative for vitamin K antagonists in the management of venous thromboembolism and nonvalvular atrial fibrillation, the need for effective reversal agents has increased, particu...

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ژورنال

عنوان ژورنال: Stroke

سال: 2019

ISSN: 0039-2499,1524-4628

DOI: 10.1161/strokeaha.118.023722