Review Article

Management of Non-Vitamin K Antagonist Oral Anticoagulants in the Perioperative Setting

Table 11

Influence of dabigatran, rivaroxaban and apixaban on coagulation tests used in the perioperative setting.

DabigatranRivaroxabanApixaban

Prothrombin Time (PT)Time prolonged + (relative to reagent sensitivity)Time prolonged + to +++ (relative to reagent sensitivity)Time non-prolonged or prolonged + (relative to reagent sensitivity)

Activated Partial Thromboplastin Time (aPTT)Time prolonged + to +++ (relative to reagent sensitivity)Time prolonged + (relative to reagent sensitivity)Time prolonged + (relative to reagent sensitivity)

PT-based coagulation factors measurement (II, VII, IX, X)Slightly decreased (depending on the reagent)Slightly decreased (depending on the reagent)Slightly decreased (depending on the reagent)

APTT-based coagulation factors measurement (VIII, IX, XI)Slightly decreased (depending on the reagent)Slightly decreased (depending on the reagent)Slightly decreased (depending on the reagent)

FibrinogenNo influence or slightly decrease (depending on the reagent)No influenceNo influence

Thrombin TimeTime prolonged +++++No influenceNo influence

Anti-Xa based antithrombin measurementNo influenceIncreased: 10% per 100 ng/mLIncreased: 10% per 100 ng/mL

Anti-IIa based antithrombin measurementIncreased: 5–10% per 100 ng/mLNo influenceNo influence