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Reversal of Rivaroxaban and Dabigatran by Prothrombin Complex Concentrate
Author(s) -
Elise S. Eerenberg,
Pieter W. Kamphuisen,
Meertien K. Sijpkens,
Joost C.M. Meijers,
Harry R. Büller,
Marcel Levi
Publication year - 2011
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.111.029017
Subject(s) - rivaroxaban , dabigatran , medicine , anesthesia , partial thromboplastin time , anticoagulant , prothrombin time , idarucizumab , hemostasis , saline , thromboplastin , antidote , warfarin , coagulation , atrial fibrillation , toxicity
Rivaroxaban and dabigatran are new oral anticoagulants that specifically inhibit factor Xa and thrombin, respectively. Clinical studies on the prevention and treatment of venous and arterial thromboembolism show promising results. A major disadvantage of these anticoagulants is the absence of an antidote in case of serious bleeding or when an emergency intervention needs immediate correction of coagulation. This study evaluated the potential of prothrombin complex concentrate (PCC) to reverse the anticoagulant effect of these drugs.

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