Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 602

Situations that force interruption of anticoagulation Intracranial bleeding (ICB)

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Based on observational studies, reinstitution of anticoagulation after ICB is associated with a lower risk of thromboembolic complications and a similar risk of intracranial haemorrhage recurrence. The recommendations regarding the best time to restart anticoagulation are not clear; we should consider the type of ICB (the risk of recurrence is greater in subarachnoid haemorrhage than intraparenchymal) and if the previous drug should be changed or replaced. More studies are needed for risk stratification for the subtype of stroke, localization and severity of ICB, and different anticoagulant drugs and exposure level.61,62

Pathy's Principles and Practice of Geriatric Medicine

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