Rivaroxaban – a safe therapeutic option in patients with antiphospholipid syndrome? Our experience in 23 cases

In the therapeutic approach to patients with antiphospholipid syndrome (APS) with thrombotic manifestations, oral vitamin K antagonists (VKA) remain the standard of care. However, the use of VKA is very often associated with inability to achieve a therapeutic dose even in patients maintaining nutrit...

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Main Authors: Ewa Haładyj, Marzena Olesińska
Format: Article
Language:English
Published: Termedia Publishing House 2016-07-01
Series:Rheumatology
Subjects:
Online Access:http://www.termedia.pl/Rivaroxaban-a-safe-therapeutic-option-in-patients-with-antiphospholipid-syndrome-Our-experience-in-23-cases,18,27997,1,1.html
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author Ewa Haładyj
Marzena Olesińska
author_facet Ewa Haładyj
Marzena Olesińska
author_sort Ewa Haładyj
collection DOAJ
description In the therapeutic approach to patients with antiphospholipid syndrome (APS) with thrombotic manifestations, oral vitamin K antagonists (VKA) remain the standard of care. However, the use of VKA is very often associated with inability to achieve a therapeutic dose even in patients maintaining nutritional and therapeutic restrictions. The non-vitamin-K oral anticoagulants (NOAC) have a lot of advantages, but their efficacy and safety in APS have not been proven. We present 23 patients with APS treated with rivaroxaban in our department. Recurrence of thrombosis was observed only in 1 patient. No major or minor bleeding occurred. It proves the efficacy of treatment with rivaroxaban, but our observations require further prospective, randomized studies.
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spelling doaj.art-af6cd885fa23452d9a5daaa102794c972022-12-22T00:20:34ZengTermedia Publishing HouseRheumatology0034-62332084-98342016-07-0154314614910.5114/reum.2016.6121727997Rivaroxaban – a safe therapeutic option in patients with antiphospholipid syndrome? Our experience in 23 casesEwa HaładyjMarzena OlesińskaIn the therapeutic approach to patients with antiphospholipid syndrome (APS) with thrombotic manifestations, oral vitamin K antagonists (VKA) remain the standard of care. However, the use of VKA is very often associated with inability to achieve a therapeutic dose even in patients maintaining nutritional and therapeutic restrictions. The non-vitamin-K oral anticoagulants (NOAC) have a lot of advantages, but their efficacy and safety in APS have not been proven. We present 23 patients with APS treated with rivaroxaban in our department. Recurrence of thrombosis was observed only in 1 patient. No major or minor bleeding occurred. It proves the efficacy of treatment with rivaroxaban, but our observations require further prospective, randomized studies.http://www.termedia.pl/Rivaroxaban-a-safe-therapeutic-option-in-patients-with-antiphospholipid-syndrome-Our-experience-in-23-cases,18,27997,1,1.htmlantiphospholipid syndrome rivaroxaban warfarin thrombosis
spellingShingle Ewa Haładyj
Marzena Olesińska
Rivaroxaban – a safe therapeutic option in patients with antiphospholipid syndrome? Our experience in 23 cases
Rheumatology
antiphospholipid syndrome
rivaroxaban
warfarin
thrombosis
title Rivaroxaban – a safe therapeutic option in patients with antiphospholipid syndrome? Our experience in 23 cases
title_full Rivaroxaban – a safe therapeutic option in patients with antiphospholipid syndrome? Our experience in 23 cases
title_fullStr Rivaroxaban – a safe therapeutic option in patients with antiphospholipid syndrome? Our experience in 23 cases
title_full_unstemmed Rivaroxaban – a safe therapeutic option in patients with antiphospholipid syndrome? Our experience in 23 cases
title_short Rivaroxaban – a safe therapeutic option in patients with antiphospholipid syndrome? Our experience in 23 cases
title_sort rivaroxaban a safe therapeutic option in patients with antiphospholipid syndrome our experience in 23 cases
topic antiphospholipid syndrome
rivaroxaban
warfarin
thrombosis
url http://www.termedia.pl/Rivaroxaban-a-safe-therapeutic-option-in-patients-with-antiphospholipid-syndrome-Our-experience-in-23-cases,18,27997,1,1.html
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AT marzenaolesinska rivaroxabanasafetherapeuticoptioninpatientswithantiphospholipidsyndromeourexperiencein23cases