Table 9.
Concentrate of factors (II, (VII), IX et X): prothrombin complex concentrate, PCC, PPSB (Cofact, Confidex, Octaplex, Beriplex) | 25 U/kg, once or two times* |
| |
Concentrate of activated factors: idem PCC + VIIa, FEIBA, (FEIBA) | 50 IE/kg, max 200 IE/kg/day* |
| |
Factor VIIa: (Novoseven) | Needs further evaluation: 90 μg/kg |
| |
Antifibrinolytics (Tranexamic acid (Exacyl), Aminocaproïc acid), Desmopressin (Minirin) | No clinical data in this context |
| |
Fresh Frozen Plasma (FFP) | Not useful to reverse anticoagulation, expand plasma volume in case of massive transfusion |
| |
Protamin, vitamin K | No effect in case of NOACs bleeding |
*PCC or aPCC utilization is based of few experimental data, can be considered if immediate hemostatic support is essential in case of life-threating bleeding (need for ≥4 red cells transfusions and exogenous cathecolamins for hemodynamic stabilization).