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. 2016 Feb 4;38(12):860–868. doi: 10.1093/eurheartj/ehw069
Choice of treatment After careful assessment of potential risks and benefits of intravenous thrombolysis, rtPA may be given if coagulation tests specific for the individual NOAC reveal low or absent anticoagulant intensity (off label)
Interventional mechanical thrombectomy is an alternative to pharmacological thrombolysis for patients with acute ischaemic stroke with proximal intracranial arterial occlusions who are effectively anticoagulated with an NOAC