Extracorporeal Therapy for Dabigatran Removal in the Treatment of Acute Bleeding
Author(s) -
Tripti Singh,
Thin Thin Maw,
Brian L. Henry,
Núria M. PastorSoler,
Mark L. Unruh,
Kenneth R. Hallows,
Thomas D. Nolin
Publication year - 2013
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.01570213
Subject(s) - medicine , dabigatran , extracorporeal membrane oxygenation , intensive care medicine , extracorporeal , anesthesia , atrial fibrillation , warfarin
Dabigatran is an oral direct thrombin inhibitor that is Food and Drug Administration-approved for prevention of stroke in patients with atrial fibrillation. No antidote is available for reversal of dabigatran's anticoagulant effect. Despite limited clinical data, hemodialysis has been suggested as a strategy to remove dabigatran during acute bleeding. This work presents five cases, in which extracorporeal therapy was performed for dabigatran removal in acutely bleeding patients.
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