[More safe anticoagulant treatment - use of idarucizumab (Praxbind®): case reports from RE-VERSE AD study and clinical practice]

Vnitr Lek. 2018 Spring;64(3):309-313.
[Article in Czech]

Abstract

RE-VERSE AD, a prospective multicentric cohort study, examined the effect of idarucizumab on 2 cohorts of patients anticoagulated with dabigatran - in cohort A in patients with uncontrollable or life threatening bleeding, in cohort B in patients who undergo acute surgery. Within the study patients were intravenously administered 5 g antidote divided into 2 doses per 2.5 g within 15 min to eliminate the anticoagulation effect of dabigatran. A series of case studies is presented to describe the use of idarucizumab within the RE-VERSE AD study and in clinical practice in the period of 2015-2016 at the University Hospital Hradec Králové. The included examples illustrate the benefit of dabigatran as the only drug so far from the group of direct oral anticoagulants which has an antidote.Key words: antidote - bleeding - dabigatran - direct oral anticoagulants - DOAC - high risk of bleeding - idarucizumab - intervention.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Monoclonal, Humanized* / therapeutic use
  • Anticoagulants* / therapeutic use
  • Cohort Studies
  • Dabigatran / therapeutic use
  • Humans
  • Prospective Studies

Substances

  • Antibodies, Monoclonal, Humanized
  • Anticoagulants
  • idarucizumab
  • Dabigatran