A Case of Periprocedural Discontinuation of Apixaban Resulting in Intra-aortic Thrombosis

Sabu John¹, Pramod Theetha Kariyanna^2, , Jonathan Marmur¹, Kamal Preet Singh¹ and Mary Mallappallil¹

¹Division of Cardiology, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York, U.S.A.

²Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York, U.S.A.

Cite this paper

Sabu John, Pramod Theetha Kariyanna, Jonathan Marmur, Kamal Preet Singh and Mary Mallappallil. A Case of Periprocedural Discontinuation of Apixaban Resulting in Intra-aortic Thrombosis. American Journal of Medical Case Reports. 2016; 4(1):16-18. doi: 10.12691/AJMCR-4-1-5

Abstract

Apixaban, a novel oral anticoagulant is approved for anticoagulation in non-valvular atrial fibrillation. Apixaban is found to be superior to warfarin in prevention of stroke and thromboembolism and is associated with lesser risk of bleeding. Peri-procedural discontinuation of apixaban is safe, but the risk of thrombosis exists. We here present a case of arterial thrombosis that lead to lower limb ischemia upon periprocedural discontinuation of apixaban.

Keywords

apixaban, anticoagulation, non-valvular atrial fibrillation, thrombosis

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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