Table 1.
Reversal Agents | Monitoring | Comments | |
---|---|---|---|
Warfarin | Vitamin K, FFP, rFVIIa, PCC, aPCC | PT/INR | Vitamin K has a delayed reversal effect. To significantly increase coagulation proteins, 2 to 10 L of FFP may be required. PCCs and rFVIIa are powerful procoagulant agents that can significantly increase the risk of thrombotic events. |
Rivaroxaban | rFVIIa, PCC, aPCC | PT, TT, anti‐factor Xa | |
Dabigatran | rFVIIa | ECT, aPTT, TT |
Abbreviations: aPCC, activated prothrombin complex concentrate; aPTT, activated partial thromboplastin time; ECT, ecarin clotting time; FFP, fresh frozen plasma; INR, international normalized ratio; PCC, prothrombin complex concentrate; PT, prothrombin time; rFVIIa, recombinant factor VIIIa; TT, thrombin time.