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Anticoagulation Strategies Following Breakthrough Ischemic Stroke While on Direct Anticoagulants: A Meta-Analysis.

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Title: Anticoagulation Strategies Following Breakthrough Ischemic Stroke While on Direct Anticoagulants: A Meta-Analysis.
Authors: Romoli M; Department of Neurosciences, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy., Paciaroni M; Clinical Neurology Unit, Department of Neuroscience and Rehabilitation, University of Ferrara, Italy., Marrone N; Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro, Italy.; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy., Palaiodimou L; Second Department of Neurology, 'Attikon' University Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece., Tudisco V; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.; Neurology Unit, Department of Clinical and Experimental Medicine, University of Messina, Italy., Faini C; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.; DIBINEM, University of Bologna, Italy., Katsanos AH; Division of Neurology, Department of Medicine, McMaster University/Population Health Research Institute, Hamilton, Ontario, Canada., Rubiera M; Stroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Barcelona, Spain., Eusebi P; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy., Merlino G; SOSD Stroke Unit, Department of Head, Neck and Neurosciences, Udine University Hospital, Italy., Giacomozzi S; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy., D'Anna L; Department of Brain Sciences, Imperial College London, United Kingdom., Giammello F; Neurology Unit, Department of Clinical and Experimental Medicine, University of Messina, Italy.; Neurology and Stroke Unit, Neuchâtel Hospital Network (RHNe), Switzerland., Diana F; Interventional Neuroradiology Section, Department of Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.; Department of Scienze della Vita, Della Salute e delle Professioni Sanitarie Link Campus University, Rome, Italy., Sepe FN; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy., Barba L; Department of Neurology, Martin-Luther-University of Halle-Wittenberg, Germany., Abu-Rumeileh S; Department of Neurology, Martin-Luther-University of Halle-Wittenberg, Germany., Diamanti S; Department of Neurology, Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy., Grifoni E; Internal Medicine II and Stroke Unit, San Giuseppe Hospital, Empoli, Italy., Masotti L; Internal Medicine II and Stroke Unit, San Giuseppe Hospital, Empoli, Italy., Toscano A; Neurology Unit, Department of Clinical and Experimental Medicine, University of Messina, Italy., Defazio G; Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro, Italy., Zini A; IRCCS Istituto delle Scienze Neurologiche di Bologna, Neurologia e Rete Stroke Metropolitana, Italy., Longoni M; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy., Molina CA; Stroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Barcelona, Spain., Cameron AC; School of Cardiovascular and Metabolic Health, University of Glasgow, United Kingdom., Shoamanesh A; Division of Neurology, Department of Medicine, McMaster University/Population Health Research Institute, Hamilton, Ontario, Canada., Fischer U; Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Switzerland., Petruzzellis M; Stroke Unit, AOU Consorziale Policlinico Bari, Italy., Sposato LA; Departments of Clinical Neurological Sciences, Epidemiology and Biostatistics, and Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.; Heart & Brain Laboratory, Western University, London, Onario, Canada.; Robarts Research Institute, Western University, London, Onario, Canada; and.; Lawson Health Research Institute, London, Onario, Canada., Tsivgoulis G; Second Department of Neurology, 'Attikon' University Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece.
Source: Neurology [Neurology] 2025 Aug 26; Vol. 105 (4), pp. e213964. Date of Electronic Publication: 2025 Aug 04.
Publication Type: Journal Article; Meta-Analysis; Systematic Review
Journal Info: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0401060 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1526-632X (Electronic) Linking ISSN: 00283878 NLM ISO Abbreviation: Neurology Subsets: MEDLINE
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  Data: Anticoagulation Strategies Following Breakthrough Ischemic Stroke While on Direct Anticoagulants: A Meta-Analysis.
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  Data: <searchLink fieldCode="AU" term="%22Romoli+M%22">Romoli M</searchLink>; Department of Neurosciences, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.<br /><searchLink fieldCode="AU" term="%22Paciaroni+M%22">Paciaroni M</searchLink>; Clinical Neurology Unit, Department of Neuroscience and Rehabilitation, University of Ferrara, Italy.<br /><searchLink fieldCode="AU" term="%22Marrone+N%22">Marrone N</searchLink>; Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro, Italy.; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.<br /><searchLink fieldCode="AU" term="%22Palaiodimou+L%22">Palaiodimou L</searchLink>; Second Department of Neurology, 'Attikon' University Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece.<br /><searchLink fieldCode="AU" term="%22Tudisco+V%22">Tudisco V</searchLink>; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.; Neurology Unit, Department of Clinical and Experimental Medicine, University of Messina, Italy.<br /><searchLink fieldCode="AU" term="%22Faini+C%22">Faini C</searchLink>; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.; DIBINEM, University of Bologna, Italy.<br /><searchLink fieldCode="AU" term="%22Katsanos+AH%22">Katsanos AH</searchLink>; Division of Neurology, Department of Medicine, McMaster University/Population Health Research Institute, Hamilton, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Rubiera+M%22">Rubiera M</searchLink>; Stroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Barcelona, Spain.<br /><searchLink fieldCode="AU" term="%22Eusebi+P%22">Eusebi P</searchLink>; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.<br /><searchLink fieldCode="AU" term="%22Merlino+G%22">Merlino G</searchLink>; SOSD Stroke Unit, Department of Head, Neck and Neurosciences, Udine University Hospital, Italy.<br /><searchLink fieldCode="AU" term="%22Giacomozzi+S%22">Giacomozzi S</searchLink>; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.<br /><searchLink fieldCode="AU" term="%22D'Anna+L%22">D'Anna L</searchLink>; Department of Brain Sciences, Imperial College London, United Kingdom.<br /><searchLink fieldCode="AU" term="%22Giammello+F%22">Giammello F</searchLink>; Neurology Unit, Department of Clinical and Experimental Medicine, University of Messina, Italy.; Neurology and Stroke Unit, Neuchâtel Hospital Network (RHNe), Switzerland.<br /><searchLink fieldCode="AU" term="%22Diana+F%22">Diana F</searchLink>; Interventional Neuroradiology Section, Department of Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.; Department of Scienze della Vita, Della Salute e delle Professioni Sanitarie Link Campus University, Rome, Italy.<br /><searchLink fieldCode="AU" term="%22Sepe+FN%22">Sepe FN</searchLink>; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.<br /><searchLink fieldCode="AU" term="%22Barba+L%22">Barba L</searchLink>; Department of Neurology, Martin-Luther-University of Halle-Wittenberg, Germany.<br /><searchLink fieldCode="AU" term="%22Abu-Rumeileh+S%22">Abu-Rumeileh S</searchLink>; Department of Neurology, Martin-Luther-University of Halle-Wittenberg, Germany.<br /><searchLink fieldCode="AU" term="%22Diamanti+S%22">Diamanti S</searchLink>; Department of Neurology, Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy.<br /><searchLink fieldCode="AU" term="%22Grifoni+E%22">Grifoni E</searchLink>; Internal Medicine II and Stroke Unit, San Giuseppe Hospital, Empoli, Italy.<br /><searchLink fieldCode="AU" term="%22Masotti+L%22">Masotti L</searchLink>; Internal Medicine II and Stroke Unit, San Giuseppe Hospital, Empoli, Italy.<br /><searchLink fieldCode="AU" term="%22Toscano+A%22">Toscano A</searchLink>; Neurology Unit, Department of Clinical and Experimental Medicine, University of Messina, Italy.<br /><searchLink fieldCode="AU" term="%22Defazio+G%22">Defazio G</searchLink>; Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro, Italy.<br /><searchLink fieldCode="AU" term="%22Zini+A%22">Zini A</searchLink>; IRCCS Istituto delle Scienze Neurologiche di Bologna, Neurologia e Rete Stroke Metropolitana, Italy.<br /><searchLink fieldCode="AU" term="%22Longoni+M%22">Longoni M</searchLink>; Department of Neuroscience, Neurology and Stroke Unit, Bufalini Hospital, AUSL Romagna, Cesena, Italy.<br /><searchLink fieldCode="AU" term="%22Molina+CA%22">Molina CA</searchLink>; Stroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Barcelona, Spain.<br /><searchLink fieldCode="AU" term="%22Cameron+AC%22">Cameron AC</searchLink>; School of Cardiovascular and Metabolic Health, University of Glasgow, United Kingdom.<br /><searchLink fieldCode="AU" term="%22Shoamanesh+A%22">Shoamanesh A</searchLink>; Division of Neurology, Department of Medicine, McMaster University/Population Health Research Institute, Hamilton, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Fischer+U%22">Fischer U</searchLink>; Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Switzerland.<br /><searchLink fieldCode="AU" term="%22Petruzzellis+M%22">Petruzzellis M</searchLink>; Stroke Unit, AOU Consorziale Policlinico Bari, Italy.<br /><searchLink fieldCode="AU" term="%22Sposato+LA%22">Sposato LA</searchLink>; Departments of Clinical Neurological Sciences, Epidemiology and Biostatistics, and Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.; Heart & Brain Laboratory, Western University, London, Onario, Canada.; Robarts Research Institute, Western University, London, Onario, Canada; and.; Lawson Health Research Institute, London, Onario, Canada.<br /><searchLink fieldCode="AU" term="%22Tsivgoulis+G%22">Tsivgoulis G</searchLink>; Second Department of Neurology, 'Attikon' University Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece.
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