Table 1.
DOAC (n = 48) | Warfarin (n = 107) | p value | |
---|---|---|---|
| |||
Time on therapy (months) | |||
Cumulative | 810 | 5637 | |
Median | 11.0 | 46.0 | |
Range | 0.5–68.1 | 0.7–209.9 | |
Age at therapy start (years) | 29.5 (26–37) | 23 (19–31) | < 0.01 |
Body surface area | 1.75 (1.64–1.93) | 1.76 (1.62–1.93) | 0.90 |
Body mass index | 23.68 (21.22–28.93) | 23.39 (20.48–27.53) | 0.55 |
Female | 22 (45.8) | 52 (48.6) | 0.75 |
Predominant systemic ventricle anatomy | |||
Left | 34 (70.8) | 78 (72.9) | 0.46 |
Right | 7 (14.6) | 20 (18.7) | |
Unspecified | 7 (14.6) | 9 (8.4) | |
Fontan type | |||
AP | 10 (20.8) | 23 (21.5) | 0.28 |
LT | 22 (45.8) | 55 (51.4) | |
ECC | 13 (27.1) | 28 (26.2) | |
Other | 3 (6.3) | 1 (0.9) | |
Indication for anticoagulation | |||
Arrhythmia | 24 (50.0) | 43 (40.2) | < 0.01 |
Thrombosis | 11 (22.9) | 39 (36.4) | |
Procedure* | 8 (16.7) | 1 (0.9) | |
Other† | 5 (10.4) | 10 (9.3) | |
Empiric‡ | 0 | 14 (13.1) | |
Other agents used | |||
None | 41 (85.4) | 72 (67.3) | 0.06 |
Aspirin, Clopidogrel, NSAID | 7 (14.6) | 34 (31.8) | |
Enoxaparin | 0 | 1 (0.9) |
If not expressly stated, values are median (interquartile range) or n (%).
Procedure = coiling, stents, antiarrhythmia, cardioversion;
Other = patent fenestration, right-to-left shunt, cyanosis, decreased ventricular function, prosthetic valve, hypercoagulability;
Empiric = Fontan physiology prophylaxis, not documented. Of the 48 patients on a DOAC, 10 were exclusively treated with a DOAC, 25 were at some point on warfarin, and 26 were at some point on aspirin. Of the 107 patients on warfarin, 64 were treated exclusively with warfarin, 25 were at some point on a DOAC, and 31 were at some point on aspirin. Of the 180 patients on aspirin, 136 were exclusively treated with aspirin, 26 were at some point on a DOAC, and 31 were at some point on warfarin. Thirteen patients were, at different points, treated with all three therapies