Document Detail


New oral anticoagulants for thromboprophylaxis after total hip or knee arthroplasty.
MedLine Citation:
PMID:  20201481     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients undergoing total hip or knee arthroplasty are at increased risk of venous thromboembolism (VTE). The long-term sequelae of VTE, such as post-thrombotic syndrome or pulmonary hypertension, can be debilitating with severe morbidity. Conventional anticoagulants have several short-comings: for example, warfarin requires regular coagulation monitoring and low-molecular-weight heparins are inconvenient to use because they require subcutaneous administration. The development of new anticoagulants has focused on 2 classes of compounds: direct thrombin inhibitors and direct factor Xa inhibitors. These new oral agents have shown efficacy in large randomized clinical trials and offer new, more convenient options for anticoagulation.
Authors:
Richard J Friedman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orthopedics     Volume:  32     ISSN:  1938-2367     ISO Abbreviation:  Orthopedics     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-03-05     Completed Date:  2010-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  79-84     Citation Subset:  IM    
Copyright Information:
Copyright 2009, SLACK Incorporated.
Affiliation:
Department of Orthopaedic Surgery, Roper Hospital, and Department of Orthopaedic Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Anticoagulants / therapeutic use*
Arthroplasty, Replacement, Hip / adverse effects*,  methods
Arthroplasty, Replacement, Knee / adverse effects*,  methods
Drug Design*
Factor Xa / antagonists & inhibitors
Humans
Postoperative Complications / etiology,  prevention & control*
Primary Prevention
Pulmonary Embolism / etiology,  prevention & control
Randomized Controlled Trials as Topic
Thrombin / antagonists & inhibitors
Venous Thrombosis / etiology,  prevention & control*
Chemical
Reg. No./Substance:
0/Anticoagulants; EC 3.4.21.5/Thrombin; EC 3.4.21.6/Factor Xa

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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