在直接口服抗凝药的情况下溶栓治疗缺血性中风。

IF 2.6 1区 医学 Journal of Investigative Medicine Pub Date : 2024-11-05 DOI:10.1136/svn-2023-002727
Jan C Purrucker, Thomas R Meinel, Duncan Wilson, Ying Xian, Teddy Y Wu, David J Seiffge
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引用次数: 0

摘要

在美国和欧洲的指南中,不建议接受直接口服抗凝剂(DOACs)治疗的抗凝患者在最近 48 小时内进行静脉溶栓治疗。然而,目前有三项观察性研究表明,近期服用 DOACs 的患者进行溶栓治疗是安全的,从而支持了之前的实验数据。本文将讨论当前的证据和实际后果。
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Thrombolysis for ischaemic stroke despite direct oral anticoagulation.

Intravenous thrombolysis is not recommended in anticoagulated patients receiving direct oral anticoagulants (DOACs) and a recent intake within the last 48 hours in US and European guidelines. However, three observational studies now suggest safety of thrombolysis in patients with recent intake of DOACs, and thus support previous experimental data. In this perspective, the current evidence and practical consequences are discussed.

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来源期刊
Journal of Investigative Medicine
Journal of Investigative Medicine MEDICINE, GENERAL & INTERNALMEDICINE, RESE-MEDICINE, RESEARCH & EXPERIMENTAL
自引率
0.00%
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111
期刊介绍: Journal of Investigative Medicine (JIM) is the official publication of the American Federation for Medical Research. The journal is peer-reviewed and publishes high-quality original articles and reviews in the areas of basic, clinical, and translational medical research. JIM publishes on all topics and specialty areas that are critical to the conduct of the entire spectrum of biomedical research: from the translation of clinical observations at the bedside, to basic and animal research to clinical research and the implementation of innovative medical care.
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