Review Article

Novel Anticoagulants in Atrial Fibrillation: Monitoring, Reversal and Perioperative Management

Table 2

Recommendations for monitoring and reversal of NOACs.

NOACTrial nameMost accurate monitoring testsQualitative monitoring testsReversal

DabigatranRE-LY HTI
ECT
TT
aPTT
(i) Activated charcoal (if a recent ingestion has been reported)  
(ii) FEIBA (activated PCC)  
(iii) Hemodialysis  
(iv) aDabi-Fab idarucizumab]*
(v) PER977*

RivaroxabanROCKET AFAntifactor Xa chromogenic assaysPT (i) Recombinant activated factor VII (rFVIIa)  
(ii) Co-fact© (a nonactivated PCC)  
(iii) FEIBA (activated PCC)  
(iv) Andexanet alfa (PRT4445) (ANNEXA-R)*
(v) PER977*
ApixabanAVERROES 
ARISTOTLE
EdoxabanENGAGE AF-TIMI

Those reversal agents are still under evaluation.