New Oral Anticoagulant-Induced Bleeding Clinical Presentation and Management

作者：Levy Jerrold H^*; Levi Marcel

来源：Clinics in Laboratory Medicine, 2014, 34(3): 575-+.

DOI：10.1016/j.cll.2014.06.004

• Anticoagulation
• New oral anticoagulants
• Reversal
• Safety
• Bleeding
• Hemorrhage

Bleeding is a significant complication of anticoagulant therapy. With the emergence of new oral anticoagulants (NOACs; ie, direct factor Ila or Xa inhibitors), this risk is further compounded by the lack of validated reversal strategies for these agents. Emerging postmarketing evidence suggests that the bleeding risks are in line with results observed in head-to-head clinical trials of NOACs versus traditional anticoagulants. Several guidelines have recommended the use of hemostatic agents for NOAC reversal in patients with life-threatening bleeding. Ultimately, adequately powered studies will be crucial for full assessment of the effectiveness and safety of any proposed reversal strategies.

• 出版日期2014-9