Ximelagatran reduced venous thromboembolism more than warfarin after total knee replacement.
نویسنده
چکیده
P a t i e n t s 2301 patients who were having primary total knee replacement and weighed between 40 and 136 kg. Exclusion criteria included pneumatic leg compression; immobilization ≥ 3 days; major surgery, stroke, myocardial infarction, or receipt of study drug ≤ 30 days before surgery; increased risk for bleeding ≤ 90 days before surgery; uncontrolled hypertension; thrombocytopenia; drug or alcohol abuse in the past 6 months; and potential for pregnancy. 2285 patients (99%) (mean age 68 y, 62% women) were included in the safety analysis and 1851 (80.4%) in the efficacy analysis.
منابع مشابه
Ximelagatran in orthopaedic surgery.
Ximelagatran represents the first new oral anticoagulant since the introduction of warfarin almost 60 years ago, and has been evaluated for the treatment and prevention of a range of venous and arterial thromboembolic disorders. The MElagatran THRomboprophylaxis in Orthopaedic surgery (METHRO) and EXpanded PRophylaxis Evaluation Surgery Study (EXPRESS) studies have investigated the efficacy and...
متن کاملLessons from ximelagatran: issues for future studies evaluating new oral direct thrombin inhibitors for venous thromboembolism prophylaxis in orthopedic surgery.
Venous thromboembolism is a frequent complication of total hip and knee replacement requiring prophylaxis with anticoagulants. A direct thrombin inhibitor-ximelagatran-did not show advantages over other anticoagulants and it was withdrawn from the market; however, new drugs are being developed. We conducted a systematic review and meta-analysis to identify conditions under which ximelagatran mi...
متن کاملComparison of the oral direct thrombin inhibitor ximelagatran with enoxaparin as prophylaxis against venous thromboembolism after total knee replacement: a phase 2 dose-finding study.
BACKGROUND Up to one third of patients who undergo total knee replacement develop deep vein thrombosis after surgery despite receiving low-molecular-weight heparin prophylaxis. Ximelagatran is a novel direct inhibitor of free and clot-bound thrombin. METHODS We performed a randomized, parallel, dose-finding study of 600 adults undergoing elective total knee replacement at 68 North American ho...
متن کاملXimelagatran versus warfarin for prophylaxis of venous thromboembolism in major orthopedic surgery: systematic review of randomized controlled trials.
BACKGROUND Ximelagatran has been recently studied for prophylaxis in surgical orthopedic cases. PURPOSE We proposed to establish whether interventions involving ximelagatran, as compared with warfarin, would increase thromboembolic prophylaxis in patients undergoing major orthopedic knee surgery. DATA SOURCE Studies with random assignment were identified by an electronic search of the medic...
متن کاملXimelagatran-an oral direct thrombin inhibitor.
OBJECTIVE To present the chemistry, pharmacology, and pharmacokinetics of ximelagatran, an oral direct thrombin inhibitor (DTI), and to review available comparative clinical trial data evaluating its efficacy and safety relative to other antithrombotic agents in the prevention and treatment of thromboembolism. DATA SOURCES A search of the PubMed and Cochrane databases (1995-August 2004), supp...
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ورودعنوان ژورنال:
- ACP journal club
دوره 141 1 شماره
صفحات -
تاریخ انتشار 2004