Monitoring of Rivaroxaban Therapy in Hypercoagulable Dogs.

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Tác giả: Anthony C G Abrams-Ogg, Shauna L Blois, Benoît Cuq, Gabrielle Monteith, Erin M Phillips, R Darren Wood

Ngôn ngữ: eng

Ký hiệu phân loại: 618.9706 Pediatrics and geriatrics

Thông tin xuất bản: United States : Journal of veterinary internal medicine , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 215561

BACKGROUND: Measurement of rivaroxaban efficacy using the rivaroxaban-specific anti-Xa assay (raXa) can be used for monitoring in veterinary medicine. Detection of rivaroxaban efficacy using other hemostatic tests would make monitoring timelier and more accessible. OBJECTIVES: Compare results of raXa with prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen concentration, tissue factor (TF) and kaolin-activated thromboelastography (TEG), and thrombin generation (TG) in hypercoagulable dogs. ANIMALS: Twelve client-owned dogs, diagnosed with hypercoagulability or thromboembolic disease, and prescribed rivaroxaban, were recruited from a tertiary referral hospital from 2020 to 2022. METHODS: Prospective clinical trial. Jugular vein blood samples were collected before treatment, and 1 week and 1-3 months after initiation of rivaroxaban therapy. Hemostatic tests were performed at each visit (3 h after rivaroxaban dosing). TG curve parameters lag time, endogenous thrombin potential (ETP), peak, and time to peak (ttpeak) were assessed. RESULTS: There was a significant linear relationship between raXa and PT (r CONCLUSION AND CLINICAL IMPORTANCE: PT and TG correlated with raXa. PT performed at a reference laboratory appeared to be a convenient method to monitor a small cohort of dogs receiving rivaroxaban therapy.
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