The SIFT trial is designed to test the hypothesis that IVT is efficient and safe in AIS patients with recent ingestion of FXa inh. EUCT:2023-509907-34-01
๐จ Exiting start to 2026 for the @SIFT_RCT ๐ 50 patients included in Norway ๐ณ๐ด and hopefully expansion to other Skandinavian countries ๐ฉ๐ฐ๐ธ๐ช๐คฉ Thanks to all PIs and great colleagues for our collaboration โค๏ธ๐
๐จ Missed it? Catch up on the Stroke Alert Podcast featuring @TotoMynell on the DO-IT Target Trial Analysis โ key insights into thrombolysis in DOAC-treated stroke patients.
Donโt miss this one! ๐ง
Stroke Alert October 2025 strokealert.libsyn.com/strokโฆ
In a systematic review and study-level meta-analysis, TNK improved excellent functional outcomes and recanalization in AIS patients treated within 4.5-24 hours, without increasing the risks of sICH or mortality. #strokeahajrnls.org/4nMEfSn
@SIFT_RCT update at Bergenkonferansen by PhD candidate Kim L Schultz ๐๐ฆ๐ง Great to be a part of the Norwegian Stroke Organization board, looking forward to meeting up in Bergen next year, celebrating the 30th anniversary of this important meeting point for Norwegian stroke physicians๐คฉ๐ Sign up!
The evidence that it is safe to give IV thrombolysis for AIS patients on DOACs continues to build.
This Australia New Zealand study used target trial emulation methodology to simulate an RCT.
Stroke patient on DOAC therapy who received IVT had significantly better MRS 0โ2 outcomes than those who did not, and actually had a lower risk of ICH (albeit non significant).
Have you ever given TPA or TNK to a patient on a DOAC?
ahajournals.org/doi/abs/10.1โฆ
Great news! New trial sites for SIFT has opened at @VestreViken Drammen and @SInnlandet Lillehammer๐Looking forward to our collaboration @AnetteHuuse
Atrial fibrillation patients can still suffer a stoke while on DOACs.
๐๐ก๐จ๐ฎ๐ฅ๐ ๐ฐ๐ ๐ฌ๐ฐ๐ข๐ญ๐๐ก ๐ญ๐จ VKA, ๐ญ๐ซ๐ฒ ๐ ๐๐ข๐๐๐๐ซ๐๐ง๐ญ ๐๐๐๐, ๐จ๐ซ ๐ฌ๐ญ๐ข๐๐ค ๐ฐ๐ข๐ญ๐ก ๐ญ๐ก๐ ๐ฌ๐๐ฆ๐?
A thread on our meta-analysis, out now in @GreenJournalneurology.org/doi/10.1212/WNโฆ
#STROKE: In a multicenter target trial analysis of patients with recent DOAC intake, IVT was linked to better outcomes and no excess bleeding vs. no IVT group. More trial data is needed.๐ย #AHAJournalsahajournals.org/doi/full/10.โฆ
Soon we will ALL be giving IV TNK to stroke patients on DOACS.
The drumbeats are pounding.
Here is yet another comparative effectiveness study showing lower ICH and better mRS outcomes among DOAC pts given lytics compared to those who did not.
ahajournals.org/doi/abs/10.1โฆ
Most viewed this week from @JAMANeuro:
APOE epsilon ฮต4 is a significant risk factor for intracranial hemorrhage in patients with atrial fibrillation on apixaban.
ja.ma/3TJHNb8
๐Great news! New trial site for SIFT has opened at Sykehuset i Vestfold Tรธnsberg. Looking forward to our collaboration @EnidaDB and Hรฅvard Lisether๐คฉ๐๐ง