Would you consider IV thrombolytics in patients with acute ischemic stroke, with or without a large vessel occlusion, if they have a history of von Willebrand disease (VWD), regardless of its type?

Would you ask for a hematologist to weigh in on this emergently?

Answer from: at Community Practice

I would still consider it unless the INR >1.7 or they are on anticoagulation for some clinical reason.

Comments

at University of Minnesota
I would check the clotting studies and the platele...