Department of Neuroscience, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), 15 Santa Maria della Misericordia Square, 33100 Udine, Italy
Review Article
Acute Ischemic Stroke Due to Anticoagulation Failure: New Challenging Issues in the DOACs Era
Author(s): Francesco Janes*, Fedra Kuris, Simone Lorenzut, Gian Luigi Gigli and Mariarosaria Valente
Primary and secondary prevention of cardio embolic stroke is a key issue in Neurological and Cardiological clinical
practice. Anticoagulation proved to be clearly effective, both with Vitamin K Anticoagulants and in the last years with
Direct Oral Anticoagulants, in preventing acute ischemic stroke. The proportion of patients prescribed with these
drugs is constantly rising in the last decades. However, the occurrence of an anticoagulation failure is responsible
for a relevant and increasing proportion of ischemic strokes. In fact, those patients have a different and peculiar risk
factors profile, require a more extensive diagnostic work-up to clarify stroke etiopathogenesis and need physicians to
pay more attention to drug-to-drug and food-to-drug interactions. Moreover, reperfusion therapies are allowed only
under specific conditions. The aim of this paper is to.. View more»