Cargando…
Resolution of left atrial appendage thrombus with apixaban
Left atrial appendage (LAA) thrombosis is an important cause of cardiogenic cerebral thromboembolism. Apixaban is a member of the class of novel oral anticoagulants (NOAC) and is superior to warfarin in preventing stroke or systemic embolism, causes less bleeding, and results in lower mortality in p...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878218/ https://www.ncbi.nlm.nih.gov/pubmed/24359320 http://dx.doi.org/10.1186/1477-9560-11-26 |
_version_ | 1782297761953087488 |
---|---|
author | Kawakami, Tohru Kobayakawa, Hiroko Ohno, Hiroyoshi Tanaka, Nobukiyo Ishihara, Hiroki |
author_facet | Kawakami, Tohru Kobayakawa, Hiroko Ohno, Hiroyoshi Tanaka, Nobukiyo Ishihara, Hiroki |
author_sort | Kawakami, Tohru |
collection | PubMed |
description | Left atrial appendage (LAA) thrombosis is an important cause of cardiogenic cerebral thromboembolism. Apixaban is a member of the class of novel oral anticoagulants (NOAC) and is superior to warfarin in preventing stroke or systemic embolism, causes less bleeding, and results in lower mortality in patients with atrial fibrillation. There are few reports of resolution of LAA thrombus with other NOAC. We present a 72-year-old male patient with persistent atrial fibrillation associated with left atrial thrombus. Sixteen days of apixaban treatment showed complete thrombus resolution. In this study, soluble fibrin and D-dimer levels decreased without prolongation of international normalized ratio (INR) and activated partial thromboplastin time (APTT). |
format | Online Article Text |
id | pubmed-3878218 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-38782182014-01-03 Resolution of left atrial appendage thrombus with apixaban Kawakami, Tohru Kobayakawa, Hiroko Ohno, Hiroyoshi Tanaka, Nobukiyo Ishihara, Hiroki Thromb J Case Report Left atrial appendage (LAA) thrombosis is an important cause of cardiogenic cerebral thromboembolism. Apixaban is a member of the class of novel oral anticoagulants (NOAC) and is superior to warfarin in preventing stroke or systemic embolism, causes less bleeding, and results in lower mortality in patients with atrial fibrillation. There are few reports of resolution of LAA thrombus with other NOAC. We present a 72-year-old male patient with persistent atrial fibrillation associated with left atrial thrombus. Sixteen days of apixaban treatment showed complete thrombus resolution. In this study, soluble fibrin and D-dimer levels decreased without prolongation of international normalized ratio (INR) and activated partial thromboplastin time (APTT). BioMed Central 2013-12-20 /pmc/articles/PMC3878218/ /pubmed/24359320 http://dx.doi.org/10.1186/1477-9560-11-26 Text en Copyright © 2013 Kawakami et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Kawakami, Tohru Kobayakawa, Hiroko Ohno, Hiroyoshi Tanaka, Nobukiyo Ishihara, Hiroki Resolution of left atrial appendage thrombus with apixaban |
title | Resolution of left atrial appendage thrombus with apixaban |
title_full | Resolution of left atrial appendage thrombus with apixaban |
title_fullStr | Resolution of left atrial appendage thrombus with apixaban |
title_full_unstemmed | Resolution of left atrial appendage thrombus with apixaban |
title_short | Resolution of left atrial appendage thrombus with apixaban |
title_sort | resolution of left atrial appendage thrombus with apixaban |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878218/ https://www.ncbi.nlm.nih.gov/pubmed/24359320 http://dx.doi.org/10.1186/1477-9560-11-26 |
work_keys_str_mv | AT kawakamitohru resolutionofleftatrialappendagethrombuswithapixaban AT kobayakawahiroko resolutionofleftatrialappendagethrombuswithapixaban AT ohnohiroyoshi resolutionofleftatrialappendagethrombuswithapixaban AT tanakanobukiyo resolutionofleftatrialappendagethrombuswithapixaban AT ishiharahiroki resolutionofleftatrialappendagethrombuswithapixaban |