What should be considered before I re-start the patient on a DOAC?
Consultation with a hematologist or thrombosis expert is strongly recommended before re-starting DOAC in someone who has experienced a life-threatening bleed.
References:
- Majeed A, Kim Y, Holmström M, Roberts RS, Schulman S. Optimal timing of resumption of warfarin after intracranial hemorrhage. Stroke. 2010;41:2860-2866.
- Majeed A, Wallvik N, Eriksson J, Hoijer J, Bottai M, Holmström M, Schulman S. Optimal timing of vitamin K antagonist resumption after upper gastrointestinal bleeding. A risk modelling analysis. Thromb Haemost. 2017;117:491-499.
- Pennlert J, Overholser R, Asplund K, et al. Optimal timing of anticoagulant treatment after intracerebral hemorrhage in patients with atrial fibrillation. Stroke. 2017;48:314-320.
- Schulman S. Bleeding Complications and Management on anticoagulant therapy. Semin Thromb Hemost. 2017;43:886-892.