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Does Reversing Factor Xa Inhibitors Really Carry as Much Thrombotic Risk as We Think? – RPTH Journal
Jun 26, 2026, 18:25

Does Reversing Factor Xa Inhibitors Really Carry as Much Thrombotic Risk as We Think? – RPTH Journal

RPTH Journal shared a post on LinkedIn about a recent article by Jurjen Krommenhoek et al., published in RPTH Journal, adding:

“Does reversing factor Xa inhibitors really carry as much thrombotic risk as we think?

Real-world data from the Netherlands offer a reassuring perspective.

Among 217 patients treated with andexanet alfa, the 30-day thrombotic event rate was just 4.6%, substantially lower than reported in major clinical trials.

Even more striking, no thrombotic events occurred after anticoagulation was restarted, reinforcing the importance of timely reinitiation when clinically appropriate.

A valuable real-world look at balancing life-saving bleeding reversal with thrombotic risk.”

Title: Andexanet alfa for the reversal of anticoagulation: Dutch practice data

Authors: Jurjen F Krommenhoek, Wendy Beekman, Flip Kor, Pim Gal, Willemijn E M Berkhout, Karina Meijer, Dionne C W Braeken, Frederikus A Klok, Hugo ten Cate, Renske H Olie

RPTH Journal

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