For patients with atrial fibrillation on DOAC, when should they resume DOAC after a thalamic bleed without intraventricular bleed?

How does presence of intraventricular hemorrhage change your recommendations?

Answer from: at Academic Institution

I would recommend restarting a DOAC approximately 2 weeks after the intraventricular bleed. There is no good clinical trial to base this decision on so it is a clinical judgment.

Comments

at UTHSC
In my neurology residency training which is heavil...

at Shaare Zedek Medical Center
There are no randomized trials on this question, d...

at University of Washington/Harborview Medical center
I also agree with Dr. @Marc Fisher, and while the ...

Answer from: at Academic Institution

If the intraventricular bleed was in the setting of hypertension, the home BP monitoring with aggressive blood pressure control is warranted. It is also prudent to look for concomitant aspirin/NSAIDs or herbal remedies being used. If no other cause is identified, Eliquis after 4 weeks can be c...

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For patients with atrial fibrillation on DOAC, when should they resume DOAC after a thalamic bleed without intraventricular bleed?

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