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Title of Journal: J Thromb Thrombolysis

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Abbravation: Journal of Thrombosis and Thrombolysis

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Springer US

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DOI

10.1016/j.bbrc.2008.09.012

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1573-742X

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Dabigatranassociated subdural hemorrhage using t

Authors: Ron Neyens Nicole Bohm Madelyne Cearley Charles Andrews Julio Chalela
Publish Date: 2013/05/11
Volume: 37, Issue: 2, Pages: 80-83
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Abstract

Novel oral anticoagulants present challenges and uncertainties in the management of hemorrhagic emergencies An 84yearold man taking dabigatran presented with a subdural hematoma requiring neurosurgical intervention Routine coagulation assays were prolonged at admission and following administration of Factor VIII Inhibitor Bypassing Activity FEIBA Thromboelastography TEG® was utilized to assess clot dynamics prior to placement of a subdural drain which was safely inserted despite a prolonged thrombin time TT Exclusive reliance on the TT may delay necessary interventions TEG® may be a valuable tool to investigate hemostasis in patients on dabigatran requiring emergent procedures

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