Idarucizumab in Three Patients Needing Urgent Surgical Intervention and One Case of Intravenous Thrombolysis in Ischaemic Stroke

  • Fredrik Andreas von Wowern Department of Internal Medicine, University Hospitals of Skåne – Malmö, Skane
  • Marco Brizzi Department of Neurology, University Hospitals of Skåne – Malmö, Skane
  • Jan Holst Department of Vascular Surgery, University Hospitals of Skåne – Malmö, Skane
Keywords: Pradaxa, Praxbind, NOAC, Surgery, Thrombolysis

Abstract

Objective: To describe the benefits of reversal of the anticoagulation effects of dabigatran etexilate in patients requiring urgent surgery or thrombolysis for ischaemic stroke.
Materials and methods: Four patients, treated with dabigatran etexilate and presenting with cholecystitis, tibial fracture, lower limb ischaemia and ischaemic stroke, respectively.
Results: Administration of idarucizumab normalized bleeding parameters and provided safe conditions for surgery and, in one case, successful thrombolysis of an ischaemic stroke.
Conclusion: The introduction of an effective reversal agent for dabigatran etexilate allows physicians perform surgery under conditions of normal coagulation and permits thrombolysis in patients with ischaemic stroke despite being treated with dabigatran etexilate.

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  • Published: 2017-05-26

    Issue: Vol 4 No 4 (view)

    Section: Articles

    How to cite:
    von Wowern, F., Brizzi, M., & Holst, J. (2017). Idarucizumab in Three Patients Needing Urgent Surgical Intervention and One Case of Intravenous Thrombolysis in Ischaemic Stroke. European Journal of Case Reports in Internal Medicine, 4(4). https://doi.org/https://doi.org/10.12890/2017_000569