Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case Report

With the arrival of a new generation of oral anticoagulants significant burdens associated with warfarin’s use on both the patient and the healthcare system have been alleviated. Nevertheless, a shortfall exists in regard to an agent or protocol for reversal of these new anticoagulants in the setti...

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Main Authors: Naveen Nannapaneni, Robby Singh, Paulina Mckay, Marwan Al-Hajeili
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2014/548272
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author Naveen Nannapaneni
Robby Singh
Paulina Mckay
Marwan Al-Hajeili
author_facet Naveen Nannapaneni
Robby Singh
Paulina Mckay
Marwan Al-Hajeili
author_sort Naveen Nannapaneni
collection DOAJ
description With the arrival of a new generation of oral anticoagulants significant burdens associated with warfarin’s use on both the patient and the healthcare system have been alleviated. Nevertheless, a shortfall exists in regard to an agent or protocol for reversal of these new anticoagulants in the setting of an acute bleed. Our case of a patient presenting to the hospital with a vaginal bleed while on rivaroxaban highlights the difficulty in management without a clear protocol or agent for reversal of anticoagulation.
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institution Kabale University
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publishDate 2014-01-01
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series Case Reports in Hematology
spelling doaj-art-8a9445af1ca54b738ff619b017ecef622025-02-03T05:44:22ZengWileyCase Reports in Hematology2090-65602090-65792014-01-01201410.1155/2014/548272548272Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case ReportNaveen Nannapaneni0Robby Singh1Paulina Mckay2Marwan Al-Hajeili3Department of Internal Medicine, Detroit Receiving Hospital/University Health Center, Suite 2E, 4201 St. Antoine Street, Detroit, MI 48201, USADepartment of Internal Medicine, Detroit Receiving Hospital/University Health Center, Suite 2E, 4201 St. Antoine Street, Detroit, MI 48201, USAPharmacy Department, Detroit Medical Center, Detroit, MI, USADepartment of Internal Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaWith the arrival of a new generation of oral anticoagulants significant burdens associated with warfarin’s use on both the patient and the healthcare system have been alleviated. Nevertheless, a shortfall exists in regard to an agent or protocol for reversal of these new anticoagulants in the setting of an acute bleed. Our case of a patient presenting to the hospital with a vaginal bleed while on rivaroxaban highlights the difficulty in management without a clear protocol or agent for reversal of anticoagulation.http://dx.doi.org/10.1155/2014/548272
spellingShingle Naveen Nannapaneni
Robby Singh
Paulina Mckay
Marwan Al-Hajeili
Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case Report
Case Reports in Hematology
title Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case Report
title_full Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case Report
title_fullStr Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case Report
title_full_unstemmed Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case Report
title_short Managing a Rivaroxaban Bleed: Understanding the Difficulties in Acute Reversal of the New Oral Anticoagulants through a Case Report
title_sort managing a rivaroxaban bleed understanding the difficulties in acute reversal of the new oral anticoagulants through a case report
url http://dx.doi.org/10.1155/2014/548272
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AT paulinamckay managingarivaroxabanbleedunderstandingthedifficultiesinacutereversaloftheneworalanticoagulantsthroughacasereport
AT marwanalhajeili managingarivaroxabanbleedunderstandingthedifficultiesinacutereversaloftheneworalanticoagulantsthroughacasereport