Vascular Medicine and Haemostasis, Department of Cardiovascular Sciences, KU Leuven, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium.
Adv Ther. 2013 Jun;30(6):589-606. doi: 10.1007/s12325-013-0041-4. Epub 2013 Jun 27.
With the advent of new oral anticoagulants (NOACs) for the treatment of deep-vein thrombosis (DVT) and/or pulmonary embolism (PE), a new era of oral anticoagulation for patients with venous thromboembolism (VTE) has begun. Rivaroxaban is the first NOAC to receive regulatory approval for the acute and continued treatment of DVT and PE, and for the secondary prevention of VTE. Here, the clinical trials of rivaroxaban in patients with VTE are reviewed, and the clinical use of rivaroxaban for patients with PE is discussed. Even though rivaroxaban will facilitate the therapeutic management of PE, its use in specific clinical situations needs further study.
随着新型口服抗凝剂(NOACs)在深静脉血栓形成(DVT)和/或肺栓塞(PE)治疗中的应用,静脉血栓栓塞症(VTE)患者的口服抗凝治疗进入了一个新时代。利伐沙班是首个获得监管机构批准用于急性和持续治疗 DVT 和 PE,以及 VTE 二级预防的 NOAC。本文回顾了利伐沙班在 VTE 患者中的临床试验,并讨论了利伐沙班在 PE 患者中的临床应用。尽管利伐沙班将有助于 PE 的治疗管理,但在特定临床情况下的应用仍需要进一步研究。