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Updated: Oct 2, 2025

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Use of Prothrombin Complex Concentrate in Oral Anticoagulant-Associated Major Bleeding
Jack G Lukas1, Michael J Reichert, G Morgan Jones
1Department of Pharmacy, Methodist University Hospital, Memphis, Tennessee (Drs Lukas, Reichert, and Jones); and College of Pharmacy (Drs Lukas, Reichert, and Jones) and College of Medicine (Dr Jones), University of Tennessee Health Science Center, Memphis.
Abstract:
Severe bleeding remains the most significant adverse effect associated with both warfarin and the direct oral anticoagulant agents. Due to the life-threatening nature of these bleeds, knowledge and understanding of agents that are able to rapidly overcome the anticoagulation effects of these medications is paramount to their use. Worldwide, the most commonly used agent for this indication is prothrombin complex concentrate (PCC). This review summarizes the evidence on the use of PCC in this population and provides practical information regarding patient-specific administration considerations.
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