Department of Transfusion Medicine and Hematology, Carlo Poma Hospital, Mantova, Italy.
Eur J Intern Med. 2012 Dec;23(8):692-5. doi: 10.1016/j.ejim.2012.10.001. Epub 2012 Oct 23.
Venous thromboembolism (VTE) is a major cause of morbidity and mortality and anticoagulation is the cornerstone of treatment. Although effective, traditional anticoagulants (i.e., heparins and vitamin K antagonists) have significant limitations and there are several unmet needs. Therefore, new drugs have been developed, including direct factor Xa inhibitors (e.g., rivaroxaban, apixaban and edoxaban) and thrombin inhibitors (e.g., dabigatran etexilate). The characteristics of these agents and the main results of published clinical studies dealing with VTE treatment are critically summarized in this article.
静脉血栓栓塞症(VTE)是发病率和死亡率的主要原因,抗凝治疗是其基石。尽管有效,但传统抗凝剂(即肝素和维生素 K 拮抗剂)存在明显的局限性,存在多种未满足的需求。因此,已经开发了一些新药,包括直接因子 Xa 抑制剂(如利伐沙班、阿哌沙班和依度沙班)和凝血酶抑制剂(如达比加群酯)。本文对这些药物的特点以及涉及 VTE 治疗的已发表临床研究的主要结果进行了批判性总结。