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Performance of coagulation tests in patients on therapeutic doses of dabigatran: a cross-sectional pharmacodynamic study based on peak and trough plasma levels.

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TLDR
Knowledge of anticoagulation status during dabigatran therapy may be desirable in certain clinical situations.
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This article is published in Journal of Thrombosis and Haemostasis.The article was published on 2013-08-01. It has received 226 citations till now. The article focuses on the topics: Ecarin clotting time & Dabigatran.

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Citations
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Laboratory measurement of the anticoagulant activity of the non-vitamin K oral anticoagulants.

TL;DR: Dabigatran, rivaroxaban, and apixaban exhibit variable effects on coagulation assays and understanding these effects facilitates interpretation of test results in NOAC-treated patients.
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Use of the direct oral anticoagulants in obese patients: guidance from the SSC of the ISTH

TL;DR: This work presents a novel and exciting new approach to thrombosis research that aims to provide real-time information about the progression of blood clotting problems in patients with deep vein thrombus.
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International Council for Standardization in Haematology (ICSH) Recommendations for Laboratory Measurement of Direct Oral Anticoagulants.

TL;DR: This inaugural coagulation ICSH document was developed by an ad hoc committee, comprised of international clinical and laboratory direct acting oral anticoagulant (DOAC) experts, and provided recommendations for the proper validation or verification of performance of laboratory assays prior to implementation for clinical use and external quality assurance.
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Laboratory Assessment of the Anticoagulant Activity of Direct Oral Anticoagulants: A Systematic Review

TL;DR: An ideal test, offering both accuracy and precision for measurement of any DOAC is not widely available, and a dilute TT or ecarin‐based assay for assessment of the anticoagulant effect of dabigatran and anti‐Xa assays with drug‐specific calibrators for direct Xa inhibitors is recommended.
References
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Journal ArticleDOI

Dabigatran etexilate - a novel, reversible, oral direct thrombin inhibitor: Interpretation of coagulation assays and reversal of anticoagulant activity

TL;DR: Although there is no specific antidote to antagonise the anticoagulant effect of dabigatran, due to its short duration of effect drug discontinuation is usually sufficient to reverse any excessive anticogulant activity.
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Clinical pharmacokinetics and pharmacodynamics of the oral direct thrombin inhibitor dabigatran etexilate.

TL;DR: Results obtained so far show that dabigatran etexilate is well tolerated and effective in the treatment and prevention of thromboembolic events.
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Dabigatran with or without concomitant aspirin compared with warfarin alone in patients with nonvalvular atrial fibrillation (PETRO Study).

TL;DR: Dabigatran plasma concentrations, activated partial thromboplastin time, D-dimer, urinary 11-dehydrothromboxane B(2) (DTB2), and liver function were measured at baseline and at 1, 2, 4, 8, and 12 weeks and the significance of the increase of DTB2 concentrations in dabig atran-treated patients needs resolution.
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Impact of dabigatran on a large panel of routine or specific coagulation assays. Laboratory recommendations for monitoring of dabigatran etexilate.

TL;DR: APTT could be used for the monitoring of dabigatran and as screening test for the risk of overdose and HTI should be considered as the gold-standard because of its higher sensitivity, good reproducibility, excellent linear correlation at all doses, its simplicity of use, and possibilities of automation.
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