Restart of Anticoagulant Therapy and Risk of Thrombosis, Rebleeding, and Death after Factor Xa Inhibitor Reversal in Major Bleeding Patients.
Truman J MillingBen KingPatrick YueSaskia MiddeldorpJan Beyer-WestendorfJohn W EikelboomMark CrowtherLizhen XuPeter VerhammeDeborah M SiegalStuart J Connollynull nullPublished in: Thrombosis and haemostasis (2021)
This analysis provides modest evidence that restarting anticoagulation in factor Xa inhibitor-associated major bleeding patients is correlated with reduced risk of thrombotic events and increased risk of rebleeding. There is low-level evidence of net benefit for restarting. A randomized trial of restarting would be appropriate.