Review Article

An Update on the Reversal of Non-Vitamin K Antagonist Oral Anticoagulants

Table 2

Laboratory parameters among various NOAC’s [37, 5966].

Apixaban [59]Edoxaban [60, 61]Rivaroxaban [62, 63]Betrixaban [64]Dabigatran [37, 65]

Prothrombin time (PT)Linear/ curvilinear correlationLinear, concentration-dependent, Poor sensitivity at low drug levelsWeak correlation at increasing concentrationsConcentration-dependent correlation at on-therapy range, Low sensitivityPoor correlation, Low sensitivity

Activated partial thromboplastin time (aPTT)Weak correlation, poor sensitivityFair concentration- dependent correlationPoor to moderate concentration- dependent correlationConcentration-dependent correlation, Low sensitivityDegree of prolongation poorly correlated with concentration

Anti-factor Xa assayLinear variation, decreased correlation at lower concentrationsLinear, concentration-dependent correlationLinear, concentration- dependent correlationConcentration-dependent correlation

Thrombin timeNormal TT effective in excluding significant dabigatran presence, highly sensitive

Dilute thrombin timeStrong correlation within on-therapy range

Ecarin based-assayStrong, linear correlation within on-therapy range, highly sensitive