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Updated: Mar 12, 2026

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
Published on: June 2, 2015
[Rivaroxaban as monotherapy in patients with venous thromboembolism]
E P Krivoshchekov1, I A Migunov1, V E Romanov1
1V.D. Seredavin Samara Regional Clinical Hospital, Samara State Medical University, Ministry of Health of the Russian Federation, Samara, Russia.
Rivaroxaban demonstrates a favorable benefit profile for treating venous thromboembolism (VTE). This study suggests rivaroxaban can be considered for initial VTE therapy, showing comparable efficacy and safety to traditional treatments.
Area of Science:
- Cardiology
- Hematology
- Pharmacology
Background:
- Venous thromboembolism (VTE) represents a significant cause of mortality and a major health concern.
- Anticoagulants are the primary treatment for VTE.
- Rivaroxaban, a novel anticoagulant, was the first approved for VTE treatment and secondary prevention in Russia.
Purpose of the Study:
- To evaluate the efficacy and safety of rivaroxaban for VTE treatment initiated on the first day.
- To compare rivaroxaban's outcomes against traditional anticoagulant therapy.
Main Methods:
- A comparative study involving 78 patients in the control group (LMWH and VKA) and 46 patients in the rivaroxaban group.
- Treatment duration was a minimum of 3 months.
- Outcomes assessed included thrombus deterioration and bleeding complications.
Main Results:
- Thrombus deterioration occurred in 3.85% of the control group versus 2.2% in the rivaroxaban group.
- Bleeding complications were observed in 7.7% of the LMWH/VKA group compared to 4.3% in the rivaroxaban group.
Conclusions:
- Rivaroxaban exhibits a favorable benefit profile in patients with VTE.
- Rivaroxaban can be considered as an initial therapeutic option for VTE management.
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