Thrombocyte count, clotting time, prothrombin time (PT), thrombin time (TT), active partial thromboplastin time (aPTT) and buccal mucosa bleeding time (BMBT) are the most frequently used parameters in determining coagulation disorders (Forsythe and Willis, 1989; ogurtan et al., 2002; Smith et al., 2005).
This review highlighted the pharmacological characteristics of various reversal agents including Prothrombin complex concentrate, Activated Prothrombin complex concentrate, Recombinant factor VIIa, Andexanet alfa, and Ciraparantag used in the treatment of laboratory parameters prothrombin time (PT) and clotting time (CT) for the reversal of rivaroxaban.
[USPRwire, Wed Oct 24 2018] Prothrombin complex concentrate is a combination of blood clotting factors used to treat and prevent bleeding in patients having factor IX deficiency.
Current guidelines recommend the use of 4-factor prothrombin complex concentrate (4F-PCC) over fresh frozen plasma for the emergent correction of coagulopathy in patients with vitamin K antagonist (VKA)-associated major bleeding.
Ganzert et al [4] retrospectively analysed the outcome of a large series of amatoxin intoxication cases and found that predictors of death were the prothrombin time in combination with the serum creatinine level on 3-10 days after ingestion.
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