Indications and Methods of Anticoagulation Reversal

Surg Clin North Am. 2017 Dec;97(6):1291-1305. doi: 10.1016/j.suc.2017.07.002. Epub 2017 Oct 5.

Abstract

The use of anticoagulation in the prevention of strokes due to atrial fibrillation or the treatment of venous thromboembolic disease has been on the rise. With the advent and proliferation of direct oral anticoagulation medications, the management of anticoagulation reversal has become increasingly complex, especially when urgent or emergent reversal is required. This review details the commonly used parenteral and oral anticoagulants, the treatment strategies necessary for their reversal, and therapies still in development.

Keywords: Andexanet alfa; Anticoagulation reversal; Aripazine; Direct oral anticoagulants; Idarucizumab; Protamine; Prothrombin complex concentrate; Warfarin.

Publication types

  • Review

MeSH terms

  • Administration, Oral
  • Antibodies, Monoclonal, Humanized / administration & dosage
  • Antibodies, Monoclonal, Humanized / pharmacology
  • Anticoagulants / administration & dosage
  • Anticoagulants / pharmacology*
  • Blood Coagulation / drug effects*
  • Blood Coagulation Factors / administration & dosage
  • Blood Coagulation Factors / pharmacology
  • Coagulants / administration & dosage
  • Coagulants / pharmacology
  • Homeostasis / drug effects
  • Humans
  • Infusions, Parenteral
  • Vitamin K / administration & dosage
  • Vitamin K / pharmacology

Substances

  • Antibodies, Monoclonal, Humanized
  • Anticoagulants
  • Blood Coagulation Factors
  • Coagulants
  • Vitamin K