Aneurysmal subarachnoid hemorrhage in patients taking direct oral anticoagulants: A case series and discussion of management

Joseph H. McMordie, Andrew P. Gard, Daniel L Surdell, William E Thorell

1 Scopus citations

Abstract

Direct oral anticoagulants are becoming more commonplace for the treatment of nonvalvular atrial fibrillation and deep vein thrombosis. Unfortunately, effective reversal agents are not widely available limiting options for neurosurgical intervention during active anticoagulation. We report a case series of 3 patients treated for aneurysmal subarachnoid hemorrhage while taking direct oral anticoagulants. All three underwent open surgical clipping after adequate time was allowed for drug metabolism. Decision-making must take into account timing of intervention, drug half-life, and currently available reversal agents.

Original languageEnglish (US)
Pages (from-to)65-67
Number of pages3
JournalInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
Volume11
DOIs
Publication statusPublished - Mar 2018

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