Factors Influencing anti-Xa assays: A Multicenter Prospective Study in Critically Ill and Noncritically Ill Patients Receiving Unfractionated Heparin.
Dominique LasneMarie Toussaint-HacquardCéline DelassasseigneAnne BautersClaire FlaujacPhilippe SavardChristine MoutonEmmanuel De MaistreAlain StepanianValérie EschwègeMaxime DelrueJean-Louis GeorgesAntoine GrosAlexandre MansourGuillaume LeroyRomain JouffroyMatthieu MatteiAntoine BeurtonAdeline PontisMarie NeuwirthFabienne Nedelec-GacThomas LecompteEmmanuel CurisVirginie SiguretIsabelle Gouin-ThibaultPublished in: Thrombosis and haemostasis (2023)
The variability of anti-Xa levels with a great overestimation of the values, using a reagent containing DS, can lead to different treatment decisions, especially after heparin neutralization by protamine. Clinical consequences of these differences remain to be demonstrated.