Emergency Reversal of Anticoagulation: Novel Agents
Overview
Authors
Affiliations
Historically, oral anticoagulation involved the administration of vitamin K antagonists, such as warfarin. However, because of the need for frequent monitoring and the desire for safer anticoagulants, several novel oral anticoagulants have been developed. These newer agents include the factor Xa inhibitors (eg, rivaroxaban, apixaban, edoxaban), along with the direct thrombin inhibitors (eg, dabigatran). This manuscript provides a brief overview of their uses and mechanisms of action, along with a review of currently available evidence for reversal strategies when life-threatening bleeding occurs.
Huang C, Hong C, Xu T, Zhao D, Wu Z, Chen L Clin Appl Thromb Hemost. 2022; 28:10760296211073925.
PMID: 35043708 PMC: 8796081. DOI: 10.1177/10760296211073925.
Direct-Acting Oral Anticoagulants and Their Reversal Agents-An Update.
Kustos S, Fasinu P Medicines (Basel). 2019; 6(4).
PMID: 31618893 PMC: 6963825. DOI: 10.3390/medicines6040103.
Diagnosis and Management of Acute Intracerebral Hemorrhage.
Morotti A, Goldstein J Emerg Med Clin North Am. 2016; 34(4):883-899.
PMID: 27741993 PMC: 5089075. DOI: 10.1016/j.emc.2016.06.010.
New Oral Anticoagulants and Their Reversal Agents.
Morotti A, Goldstein J Curr Treat Options Neurol. 2016; 18(11):47.
PMID: 27696178 DOI: 10.1007/s11940-016-0430-5.
Anticoagulation drug therapy: a review.
Harter K, Levine M, Henderson S West J Emerg Med. 2015; 16(1):11-7.
PMID: 25671002 PMC: 4307693. DOI: 10.5811/westjem.2014.12.22933.