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Updated: Feb 12, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Systemic thrombolysis and endovascular thrombectomy in severe acute ischemic stroke after dabigatran reversal with
Quentin Binet1, Frank D Hammer2, Olivia Rocrelle3
1Hemostasis and Thrombosis Unit Division of Adult Hematology Cliniques Universitaires Saint-Luc Brussels 1200 Belgium.
Patients presenting with an acute ischemic stroke despite dabigatran therapy (last intake <24 h or unknown) should be evaluated for reversal by idarucizumab, making them eligible for safe and effective intravenous thrombolysis. It has been shown to be feasible, well-tolerated, and easy to manage in an emergency room or stroke unit.
Patients presenting with an acute ischemic stroke despite dabigatran therapy (last intake <24 h or unknown) should be evaluated for reversal by idarucizumab, making them eligible for safe and effective intravenous thrombolysis. It has been shown to be feasible, well-tolerated, and easy to manage in an emergency room or stroke unit.
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