Position paper on laboratory testing for patients taking new oral anticoagulants. Consensus document of FCSA, SIMeL, SIBioC and CISMEL

被引:24
作者
Tripodi, Armando [1 ,2 ]
Di Iorio, Giancarlo [3 ]
Lippi, Giuseppe [4 ]
Testa, Sophie [5 ]
Manotti, Cesare [6 ]
机构
[1] Univ Milan, Milan, Italy
[2] IRCCS Ca Granda Maggiore Hosp Fdn, Dept Clin Sci & Community Hlth, Angelo Bianchi Bonomi Hemophilia & Thrombosis Ctr, Milan, Italy
[3] Gen Hosp, Anticoagulat Serv, Clin Chem Lab, Pescara, Italy
[4] Acad Hosp, Dept Pathol & Lab Med, Lab Clin Chem & Hematol, Parma, Italy
[5] Gen Hosp, Ctr Thrombosis & Hemostasis, Cremona, Italy
[6] Anticoagulat Serv, Fidenza, Italy
关键词
anticoagulation; new oral anticoagulants; thrombosis; warfarin; DIRECT THROMBIN INHIBITOR; COAGULATION ASSAYS; DABIGATRAN ETEXILATE; RIVAROXABAN; REVERSAL; INTERFERENCE;
D O I
10.1515/cclm-2012-0327
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
At variance with vitamin K antagonists, the new oral anticoagulants (NOAs) can be prescribed at fixed dosage without adjustment by laboratory testing. However, this does not necessarily mean that the laboratory does not play a role for their management. This position paper represents the consensus document of three Italian scientific societies dealing with laboratory issues in thrombosis and hemostasis. It is aimed at reviewing: 1) which test(s) should be used to evaluate the anticoagulant effect of each of the NOAs presently available (i.e., dabigatran, rivaroxaban and apixaban); 2) the patients to be investigated; and 3) the timing of investigation.
引用
收藏
页码:2137 / 2140
页数:4
相关论文
共 25 条
[1]   Oral Anticoagulant Therapy Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines [J].
Ageno, Walter ;
Gallus, Alexander S. ;
Wittkowsky, Ann ;
Crowther, Mark ;
Hylek, Elaine M. ;
Palareti, Gualtiero .
CHEST, 2012, 141 (02) :E44S-E88S
[2]   Clinical laboratory measurement of direct factor Xa inhibitors: Anti-Xa assay is preferable to prothrombin time assay [J].
Barrett, Yu Chen ;
Wang, Zhaoqing ;
Frost, Charles ;
Shenker, Andrew .
THROMBOSIS AND HAEMOSTASIS, 2010, 104 (06) :1263-1271
[3]   Impact of dabigatran on a large panel of routine or specific coagulation assays Laboratory recommendations for monitoring of dabigatran etexilate [J].
Douxfils, Jonathan ;
Mullier, Francois ;
Robert, Severine ;
Chatelain, Christian ;
Chatelain, Bernard ;
Dogne, Jean-Michel .
THROMBOSIS AND HAEMOSTASIS, 2012, 107 (05) :985-997
[4]   Reversal of Rivaroxaban and Dabigatran by Prothrombin Complex Concentrate A Randomized, Placebo-Controlled, Crossover Study in Healthy Subjects [J].
Eerenberg, Elise S. ;
Kamphuisen, Pieter W. ;
Sijpkens, Meertien K. ;
Meijers, Joost C. ;
Buller, Harry R. ;
Levi, Marcel .
CIRCULATION, 2011, 124 (14) :1573-1579
[5]   Laboratory testing and/or monitoring of the new oral anticoagulants/antithrombotics: for and against? [J].
Favaloro, Emmanuel J. ;
Lippi, Giuseppe .
CLINICAL CHEMISTRY AND LABORATORY MEDICINE, 2011, 49 (05) :755-757
[6]   Laboratory reporting of hemostasis assays: the final post-analytical opportunity to reduce errors of clinical diagnosis in hemostasis? [J].
Favaloro, Emmanuel J. ;
Lippi, Giuseppe .
CLINICAL CHEMISTRY AND LABORATORY MEDICINE, 2010, 48 (03) :309-321
[7]   Interference of the new oral anticoagulant dabigatran with frequently used coagulation tests [J].
Halbmayer, Walter-Michael ;
Weigel, Guenter ;
Quehenberger, Peter ;
Tomasits, Josef ;
Haushofer, Alexander C. ;
Aspoeck, Gerold ;
Loacker, Lorin ;
Schnapka-Koepf, Mirjam ;
Goebel, Georg ;
Griesmacher, Andrea .
CLINICAL CHEMISTRY AND LABORATORY MEDICINE, 2012, 50 (09) :1601-1605
[8]   Determination of Rivaroxaban in Human Plasma Samples [J].
Harenberg, Job ;
Erdle, Sandra ;
Marx, Svetlana ;
Kraemer, Roland .
SEMINARS IN THROMBOSIS AND HEMOSTASIS, 2012, 38 (02) :178-184
[9]   Effects of the oral, direct factor Xa inhibitor rivaroxaban on commonly used coagulation assays [J].
Hillarp, A. ;
Baghaei, F. ;
Blixter, I. Fagerberg ;
Gustafsson, K. M. ;
Stigendal, L. ;
Sten-Linder, M. ;
Strandberg, K. ;
Lindahl, T. L. .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2011, 9 (01) :133-139
[10]   Guidance on the emergent reversal of oral thrombin and factor Xa inhibitors [J].
Kaatz, Scott ;
Kouides, Peter A. ;
Garcia, David A. ;
Spyropolous, Alex C. ;
Crowther, Mark ;
Douketis, Jim D. ;
Chan, Anthony K. C. ;
James, Andra ;
Moll, Stephan ;
Ortel, Thomas L. ;
Van Cott, Elizabeth M. ;
Ansell, Jack .
AMERICAN JOURNAL OF HEMATOLOGY, 2012, 87 :S141-S145