Fondaparinux Sodium: Recent Advances in the Management of Thrombosis
Fondaparinux sodium is a chemically synthesized selective factor Xa inhibitor approved for the prevention and treatment of venous thromboembolic events, that is, deep vein thrombosis, pulmonary embolism, and superficial vein thrombosis, in acutely ill (including those affected by COVID-19 or cancer...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-01-01
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| Series: | Journal of Cardiovascular Pharmacology and Therapeutics |
| Online Access: | https://doi.org/10.1177/10742484221145010 |
| _version_ | 1797962820503994368 |
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| author | Rupert M. Bauersachs MD |
| author_facet | Rupert M. Bauersachs MD |
| author_sort | Rupert M. Bauersachs MD |
| collection | DOAJ |
| description | Fondaparinux sodium is a chemically synthesized selective factor Xa inhibitor approved for the prevention and treatment of venous thromboembolic events, that is, deep vein thrombosis, pulmonary embolism, and superficial vein thrombosis, in acutely ill (including those affected by COVID-19 or cancer patients) and those undergoing surgeries. Since its approval in 2002, the efficacy and safety of fondaparinux is well demonstrated by many clinical studies, establishing the value of fondaparinux in clinical practice. Some of the advantages with fondaparinux are its chemical nature of synthesis, minimal risk of contamination, 100% absolute bioavailability subcutaneously, instant onset of action, a long half-life, direct renal excretion, fewer adverse reactions when compared with direct oral anticoagulants, and being an ideal alternative in conditions where oral anticoagulants are not approved for use or in patients intolerant to low molecular weight heparins (LMWH). In the last decade, the real-world use of fondaparinux has been explored in other conditions such as acute coronary syndromes, bariatric surgery, in patients developing vaccine-induced immune thrombotic thrombocytopenia (VITT) and in pregnant women with heparin-induced thrombocytopenia (HIT), or those intolerant to LMWH. The emerging data from these studies have culminated in recent updates in the guidelines that recommend the use of fondaparinux under various conditions. This paper aims to review the recent data and the subsequent updates in the recommendations of various guidelines on the use of fondaparinux sodium. |
| first_indexed | 2024-04-11T01:19:47Z |
| format | Article |
| id | doaj.art-add97d877a4e45edaca2ed6feec0af4a |
| institution | Directory Open Access Journal |
| issn | 1940-4034 |
| language | English |
| last_indexed | 2024-04-11T01:19:47Z |
| publishDate | 2023-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Cardiovascular Pharmacology and Therapeutics |
| spelling | doaj.art-add97d877a4e45edaca2ed6feec0af4a2023-01-03T15:03:25ZengSAGE PublishingJournal of Cardiovascular Pharmacology and Therapeutics1940-40342023-01-012810.1177/10742484221145010Fondaparinux Sodium: Recent Advances in the Management of ThrombosisRupert M. Bauersachs MD0 Center for Vascular Research, Munich, GermanyFondaparinux sodium is a chemically synthesized selective factor Xa inhibitor approved for the prevention and treatment of venous thromboembolic events, that is, deep vein thrombosis, pulmonary embolism, and superficial vein thrombosis, in acutely ill (including those affected by COVID-19 or cancer patients) and those undergoing surgeries. Since its approval in 2002, the efficacy and safety of fondaparinux is well demonstrated by many clinical studies, establishing the value of fondaparinux in clinical practice. Some of the advantages with fondaparinux are its chemical nature of synthesis, minimal risk of contamination, 100% absolute bioavailability subcutaneously, instant onset of action, a long half-life, direct renal excretion, fewer adverse reactions when compared with direct oral anticoagulants, and being an ideal alternative in conditions where oral anticoagulants are not approved for use or in patients intolerant to low molecular weight heparins (LMWH). In the last decade, the real-world use of fondaparinux has been explored in other conditions such as acute coronary syndromes, bariatric surgery, in patients developing vaccine-induced immune thrombotic thrombocytopenia (VITT) and in pregnant women with heparin-induced thrombocytopenia (HIT), or those intolerant to LMWH. The emerging data from these studies have culminated in recent updates in the guidelines that recommend the use of fondaparinux under various conditions. This paper aims to review the recent data and the subsequent updates in the recommendations of various guidelines on the use of fondaparinux sodium.https://doi.org/10.1177/10742484221145010 |
| spellingShingle | Rupert M. Bauersachs MD Fondaparinux Sodium: Recent Advances in the Management of Thrombosis Journal of Cardiovascular Pharmacology and Therapeutics |
| title | Fondaparinux Sodium: Recent Advances in the Management of Thrombosis |
| title_full | Fondaparinux Sodium: Recent Advances in the Management of Thrombosis |
| title_fullStr | Fondaparinux Sodium: Recent Advances in the Management of Thrombosis |
| title_full_unstemmed | Fondaparinux Sodium: Recent Advances in the Management of Thrombosis |
| title_short | Fondaparinux Sodium: Recent Advances in the Management of Thrombosis |
| title_sort | fondaparinux sodium recent advances in the management of thrombosis |
| url | https://doi.org/10.1177/10742484221145010 |
| work_keys_str_mv | AT rupertmbauersachsmd fondaparinuxsodiumrecentadvancesinthemanagementofthrombosis |