Reversal of drug-induced anticoagulation: old solutions and new problems
被引:49
作者:
Dzik, Walter 'Sunny'
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J224 Massachusetts Gen Hosp, Blood Transfus Serv, 55 Fruit St, Boston, MA 02114 USAJ224 Massachusetts Gen Hosp, Blood Transfus Serv, 55 Fruit St, Boston, MA 02114 USA
Dzik, Walter 'Sunny'
[1
]
机构:
[1] J224 Massachusetts Gen Hosp, Blood Transfus Serv, 55 Fruit St, Boston, MA 02114 USA
Anticoagulant drugs are taken by millions of patients throughout the world. Warfarin has been the most widely prescribed anticoagulant for decades. In recent years, new oral anticoagulants have been approved for use, are being positioned as alternatives to warfarin, and represent an enormous market opportunity for pharmaceutical companies. Requests for urgent reversal of anticoagulants are not uncommon especially in the setting of critical bleeding. This review summarizes information on reversal of warfarin by vitamin K, plasma, prothrombin complex concentrates, and recombinant VIIa. In addition, we emphasize the lack of current evidence supporting reversibility of the new oral direct thrombin inhibitors and Factor Xa inhibitors. This review is presented to assist transfusion medicine specialists, hematologists, and other clinicians who prescribe blood components for reversal of drug-induced anticoagulation.
机构:
Stanford Univ, Med Ctr, Sch Med, Dept Pathol, Stanford, CA 94305 USA
Stanford Univ, Dept Med, Sch Med, Stanford, CA 94305 USAStanford Univ, Med Ctr, Sch Med, Dept Pathol, Stanford, CA 94305 USA
Goodnough, Lawrence Tim
;
Shander, Aryeh
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Englewood Hosp & Med Ctr, Dept Anesthesiol & Crit Care, Englewood, NJ USAStanford Univ, Med Ctr, Sch Med, Dept Pathol, Stanford, CA 94305 USA
机构:
Stanford Univ, Med Ctr, Sch Med, Dept Pathol, Stanford, CA 94305 USA
Stanford Univ, Dept Med, Sch Med, Stanford, CA 94305 USAStanford Univ, Med Ctr, Sch Med, Dept Pathol, Stanford, CA 94305 USA
Goodnough, Lawrence Tim
;
Shander, Aryeh
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机构:
Englewood Hosp & Med Ctr, Dept Anesthesiol & Crit Care, Englewood, NJ USAStanford Univ, Med Ctr, Sch Med, Dept Pathol, Stanford, CA 94305 USA