作者: Charles V. Pollack , Paul A. Reilly , Joanne van Ryn , John W. Eikelboom , Stephan Glund
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摘要: BackgroundIdarucizumab, a monoclonal antibody fragment, was developed to reverse the anticoagulant effect of dabigatran. MethodsWe performed multicenter, prospective, open-label study determine whether 5 g intravenous idarucizumab would be able dabigatran in patients who had uncontrolled bleeding (group A) or were about undergo an urgent procedure B). The primary end point maximum percentage reversal within 4 hours after administration idarucizumab, on basis diluted thrombin time ecarin clotting time. Secondary points included restoration hemostasis and safety measures. ResultsA total 503 enrolled: 301 group A, 202 B. median 100% (95% confidence interval, 100 100), either In 137 (45.5%) presented ...