Position paper on laboratory testing for patients taking new oral anticoagulants. Consensus document of FCSA, SIMeL, SIBioC and CISMEL

被引:25
作者
Tripodi, Armando [1 ,2 ]
Di Iorio, Giancarlo [3 ]
Lippi, Giuseppe [4 ]
Testa, Sophie [5 ]
Manotti, Cesare [6 ]
机构
[1] Univ Milan, Milan, Italy
[2] IRCCS Ca Granda Maggiore Hosp Fdn, Dept Clin Sci & Community Hlth, Angelo Bianchi Bonomi Hemophilia & Thrombosis Ctr, Milan, Italy
[3] Gen Hosp, Anticoagulat Serv, Clin Chem Lab, Pescara, Italy
[4] Acad Hosp, Dept Pathol & Lab Med, Lab Clin Chem & Hematol, Parma, Italy
[5] Gen Hosp, Ctr Thrombosis & Hemostasis, Cremona, Italy
[6] Anticoagulat Serv, Fidenza, Italy
关键词
anticoagulation; new oral anticoagulants; thrombosis; warfarin; DIRECT THROMBIN INHIBITOR; COAGULATION ASSAYS; DABIGATRAN ETEXILATE; RIVAROXABAN; REVERSAL; INTERFERENCE;
D O I
10.1515/cclm-2012-0327
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
At variance with vitamin K antagonists, the new oral anticoagulants (NOAs) can be prescribed at fixed dosage without adjustment by laboratory testing. However, this does not necessarily mean that the laboratory does not play a role for their management. This position paper represents the consensus document of three Italian scientific societies dealing with laboratory issues in thrombosis and hemostasis. It is aimed at reviewing: 1) which test(s) should be used to evaluate the anticoagulant effect of each of the NOAs presently available (i.e., dabigatran, rivaroxaban and apixaban); 2) the patients to be investigated; and 3) the timing of investigation.
引用
收藏
页码:2137 / 2140
页数:4
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