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Published on: February 28, 2012
Anti-coagulant therapy with dabigatran for cystic fibrosis patients
1Division of Pediatric Pulmonology, Golisano Children's Hospital, University of Rochester, Rochester, New York.
Insights
Cystic fibrosis (CF) patients face higher risks of blood clots, particularly with central venous catheters. This study suggests dabigatran is a viable oral anticoagulant option for CF patients, offering an alternative to traditional therapies.
Area of Science:
- Pulmonology
- Hematology
- Pharmacology
Background:
- Patients with cystic fibrosis (CF) have an elevated risk of venous thromboembolism (VTE), often linked to central venous catheter use.
- Traditional anticoagulants like coumarins and low molecular weight heparin present administration challenges in CF patients.
Observation:
- This case series reports the successful long-term anticoagulation therapy using dabigatran in two CF patients.
- Dabigatran, an oral direct thrombin inhibitor, was used as an alternative anticoagulant medication.
Findings:
- Dabigatran was successfully administered for long-term anticoagulation in CF patients.
- The study demonstrates the feasibility of using dabigatran in this specific patient population.
Implications:
- Dabigatran represents a potential alternative oral anticoagulant for managing VTE in cystic fibrosis patients.
- Further research is warranted to confirm the safety and efficacy of dabigatran in a larger CF cohort.
Abstract:
Patients with cystic fibrosis (CF) are at increased risk of venous thromboembolism, especially in association with central venous catheter use. Coumarin drugs and low molecular weight heparin are frequently used for anti-coagulant therapy, but are more challenging to administer in CF patients. Dabigatran, an oral thrombin antagonist, is an alternative anti-coagulant medication, but its use in CF has not been reported. We describe our experience in successfully using dabigatran for long-term anti-coagulation therapy in two CF patients. Our experience suggests that dabigatran can serve as an option for anticoagulation therapy in CF. Pediatr Pulmonol. 2016;51:E29-E30. © 2016 Wiley Periodicals, Inc.
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