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Thrombosis

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Open heartAtrial fibrillationThrombosis

Walking a tightrope

the safety and efficacy of oral anticoagulants in atrial fibrillation patients with prior intracranial haemorrhage: a systematic review and meta-analysis.

A systematic review and meta-analysis evaluated direct oral anticoagulants (DOACs) versus vitamin K antagonists (VKAs) in patients with atrial fibrillation and a history of intracranial haemorrhage…

New England Journal of MedicineAtrial fibrillationThrombosis

LIBREXIA ACS

milvexian prevents no events after an acute coronary syndrome and does not bleed less, a blow to the factor XI hypothesis in ACS

The full results of the trial stopped for futility in November 2025: 14,194 patients within 7 days of an ACS with at least two risk factors, milvexian 25 mg twice daily or placebo on top of…

HartVaat congresredactieAtrial fibrillationThrombosis

Factor XI inhibition

the hypothesis, the promise and the LIBREXIA ACS lesson

Factor XI inhibition promises antithrombotic effect without the bleeding cost, but the field keeps hitting reality: after asundexian, the 14,000-patient LIBREXIA ACS trial of milvexian was halted for…

European heart journalThrombosis

New-onset postoperative atrial fibrillation management and outcomes

the VISION Cardiac Surgery cohort.

In the prospective VISION Cardiac Surgery cohort (12,234 patients, 12 countries), new-onset postoperative atrial fibrillation (POAF) occurred in 31.8% within 30 days of cardiac surgery…

The New England journal of medicinePreventionThrombosis

Cerebral Amyloid Angiopathy.

Cerebral amyloid angiopathy (CAA) — deposition of beta-amyloid in the brain's small vessels — is a major cause of haemorrhagic stroke and contributes to cognitive decline and to complications of…

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