Thromb Haemost 2021; 121(08): 1008-1020
DOI: 10.1055/a-1450-8178
Review Article

2021 Update of the International Council for Standardization in Haematology Recommendations for Laboratory Measurement of Direct Oral Anticoagulants

1   Department of Pharmacy-Namur Thrombosis and Hemostasis Center, University of Namur, Namur, Belgium
2   Qualiblood SA, Namur, Belgium
,
Dorothy M. Adcock
3   Laboratory Corporation of America, Burlington North Carolina, United States
,
Shannon M. Bates
4   Department of Medicine, McMaster University Medical Centre, Hamilton, Ontario, Canada
,
Emmanuel J. Favaloro
5   Department of Haematology, Sydney Centres for Haemostasis and Thrombosis, Institute of Clinical Pathology and Medical Research, NSW Health Pathology, Westmead Hospital, Westmead, New South Wales, Australia
,
Isabelle Gouin-Thibault
6   Department of Hematology-Hemostasis, IRSET-INSERM-1085, University Hospital, Rennes, France
,
Cecilia Guillermo
7   Hospital de Clínicas “Dr Manuel Quintela,” Facultad de Medicina, Universidad de la República, Montevideo, Uruguay
,
Yohko Kawai
8   Sanno Hospital, Laboratory Medicine, Tokyo, Japan
,
Edelgard Lindhoff-Last
9   Cardiology Angiology Center Bethanien, CCB Vascular Center, CCB Coagulation Center, Frankfurt, Germany
,
Steve Kitchen
10   Royal Hallamshire Hospital, Coagulation Sheffield, South Yorks, United Kingdom
,
11   Hemophilia Treatment Center, University of California, Davis Health System, Sacramento, California, United States
› Institutsangaben

Funding None.
Preview

Abstract

In 2018, the International Council for Standardization in Haematology (ICSH) published a consensus document providing guidance for laboratories on measuring direct oral anticoagulants (DOACs). Since that publication, several significant changes related to DOACs have occurred, including the approval of a new DOAC by the Food and Drug Administration, betrixaban, and a specific DOAC reversal agent intended for use when the reversal of anticoagulation with apixaban or rivaroxaban is needed due to life-threatening or uncontrolled bleeding, andexanet alfa. In addition, this ICSH Working Party recognized areas where additional information was warranted, including patient population considerations and updates in point-of-care testing. The information in this manuscript supplements our previous ICSH DOAC laboratory guidance document. The recommendations provided are based on (1) information from peer-reviewed publications about laboratory measurement of DOACs, (2) contributing author's personal experience/expert opinion and (3) good laboratory practice.



Publikationsverlauf

Eingereicht: 01. Dezember 2020

Angenommen: 17. März 2021

Accepted Manuscript online:
19. März 2021

Artikel online veröffentlicht:
30. Mai 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany