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May, 2026
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Wolfgang Miesbach: Rethinking Bleeding Risk in Anticoagulation
May 13, 2026, 15:10

Wolfgang Miesbach: Rethinking Bleeding Risk in Anticoagulation

Wolfgang Miesbach, Professor of Medicine at Frankfurt University Hospital, shared a post on LinkedIn:

“Rethinking Bleeding Risk in Anticoagulation.

At the EHA‑SWG Scientific Meeting on Bleeding and Platelet Disorders, Mariantonietta Tripodo delivered a fantastic talk on bleeding risk in patients receiving antithrombotic therapy – from AF and VTE to prosthetic valves, LV thrombus and acute coronary syndromes:

  • Antithrombotic therapy is used across many indications, so managing bleeding risk is a daily challenge in routine practice.
  • Major bleeding (incl. ICH) remains a major limitation of VKAs and DOACs, and ‘fear‑driven’ underdosing in real life is still common.
  • High‑risk patients (age, renal impairment, prior bleeding) live within a narrow therapeutic window, making individualized decisions essential.
  • Targeting FXI could help decouple thrombosis from hemostasis, with early data suggesting relevant bleeding reduction while preserving efficacy.”

Wolfgang Miesbach

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