The use of prothrombin complex concentrates in the treatment of hemorrhages induced by oral anticoagulation.

Abstract:

:Bleeding events are a common adverse effect in oral anticoagulation that frequently depend on the duration and intensity of treatment. Major bleeding events, particularly intracerebral hemorrhages, are a serious complication in cases that require the rapid reversal of anticoagulation. Urgent correction of the coagulation defect is also indicated when major emergency surgery is necessary. In addition to vitamin K supplementation, the administration of prothrombin complex concentrates is the most effective measure for the rapid reversal of anticoagulation. Due to the time-consuming administration and increased risk of volume overload, the administration of fresh frozen plasma is less advisable in such instances. The application of prothrombin complex concentrates requires a precautious risk-benefit evaluation, including an estimation of contraindications and repeated laboratory monitoring for dose adjustment.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Pindur G,Mörsdorf S

doi

10.1016/s0049-3848(99)00085-7

subject

Has Abstract

pub_date

1999-08-15 00:00:00

pages

S57-61

issue

4 Suppl 1

eissn

0049-3848

issn

1879-2472

journal_volume

95

pub_type

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