Current Status of New Anticoagulants in the Management of Venous Thromboembolism

Venous Thromboembolism, manifested as deep venous thrombosis and pulmonary embolism, is a common problem associated with significant morbidity, mortality, and resource expenditure. Unfractionated heparin, low-molecular-weight heparin, and vitamin K antagonists are the most common treatment and proph...

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Main Authors: Roberto C. Montoya, Ajeet Gajra
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2012/856341
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author Roberto C. Montoya
Ajeet Gajra
author_facet Roberto C. Montoya
Ajeet Gajra
author_sort Roberto C. Montoya
collection DOAJ
description Venous Thromboembolism, manifested as deep venous thrombosis and pulmonary embolism, is a common problem associated with significant morbidity, mortality, and resource expenditure. Unfractionated heparin, low-molecular-weight heparin, and vitamin K antagonists are the most common treatment and prophylaxis, and have demonstrated their efficacy in a vast number of previous studies. Despite their broad use, these agents have important limitations that have led to the development of new drugs in a bid to overcome the disadvantages of the old ones without decreasing their therapeutic effect. These novel medications, some approved and others in different stages of development, include direct thrombin inhibitors like dabigatran etexilate, and direct activated factor X inhibitors like rivaroxaban. The current paper will review the characteristics, clinical trial results, and current and potential therapeutic uses of these new agents with a focus on the categories of direct thrombin inhibitors and activated factor X inhibitors.
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spelling doaj-art-1a34cf81ec2f4bb494a34f9a0cef33302025-02-03T06:00:13ZengWileyAdvances in Hematology1687-91041687-91122012-01-01201210.1155/2012/856341856341Current Status of New Anticoagulants in the Management of Venous ThromboembolismRoberto C. Montoya0Ajeet Gajra1Division of Hematology-Oncology, Department of Medicine, SUNY Upstate Medical University, 750 E Adams St., Syracuse, NY 13210, USADivision of Hematology-Oncology, Department of Medicine, SUNY Upstate Medical University, 750 E Adams St., Syracuse, NY 13210, USAVenous Thromboembolism, manifested as deep venous thrombosis and pulmonary embolism, is a common problem associated with significant morbidity, mortality, and resource expenditure. Unfractionated heparin, low-molecular-weight heparin, and vitamin K antagonists are the most common treatment and prophylaxis, and have demonstrated their efficacy in a vast number of previous studies. Despite their broad use, these agents have important limitations that have led to the development of new drugs in a bid to overcome the disadvantages of the old ones without decreasing their therapeutic effect. These novel medications, some approved and others in different stages of development, include direct thrombin inhibitors like dabigatran etexilate, and direct activated factor X inhibitors like rivaroxaban. The current paper will review the characteristics, clinical trial results, and current and potential therapeutic uses of these new agents with a focus on the categories of direct thrombin inhibitors and activated factor X inhibitors.http://dx.doi.org/10.1155/2012/856341
spellingShingle Roberto C. Montoya
Ajeet Gajra
Current Status of New Anticoagulants in the Management of Venous Thromboembolism
Advances in Hematology
title Current Status of New Anticoagulants in the Management of Venous Thromboembolism
title_full Current Status of New Anticoagulants in the Management of Venous Thromboembolism
title_fullStr Current Status of New Anticoagulants in the Management of Venous Thromboembolism
title_full_unstemmed Current Status of New Anticoagulants in the Management of Venous Thromboembolism
title_short Current Status of New Anticoagulants in the Management of Venous Thromboembolism
title_sort current status of new anticoagulants in the management of venous thromboembolism
url http://dx.doi.org/10.1155/2012/856341
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