Perioperatives Gerinnungsmanagement bei Ersatz der Aorta ascendens unter Apixaban
| Autor: | E. Halbeck, Helmuth Forst, C. Dumps, J. Schimpf |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Aortic dissection
medicine.medical_specialty business.industry Deep vein General Medicine Perioperative 030204 cardiovascular system & hematology medicine.disease Thrombosis Surgery Dabigatran 03 medical and health sciences Venous thrombosis 0302 clinical medicine Anesthesiology and Pain Medicine medicine.anatomical_structure medicine.artery Ascending aorta cardiovascular system medicine Apixaban 030212 general & internal medicine business medicine.drug |
| Zdroj: | Der Anaesthesist. 65:595-600 |
| ISSN: | 1432-055X 0003-2417 |
| DOI: | 10.1007/s00101-016-0200-5 |
| Popis: | The direct oral anticoagulants (DOACs) present a valid therapeutic alternative to vitamin K antagonists in patients with non-valvular atrial fibrillation, for the prevention of venous thromboembolism, and for the treatment and prevention of the recurrence of pulmonary embolisms and deep vein thrombosis. Despite Idarucizumab as an antagonist of Dabigatran there are no other specific antidotes available yet. Therefore, perioperative coagulation management by DOACs is challenging in patients undergoing emergency surgical procedures with a high risk of bleeding complications. This case study describes the perioperative procedure during ascending aorta replacement after aortic dissection with apixaban administration. |
| Databáze: | OpenAIRE |
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