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Kcentra and andexxa are both reasonable options for factor xa reversal in major bleeding However, it is probably riskier and is supported by less evidence, when compared to kcentra. While andexxa appears to have good hemostatic efficacy, it has greater risk of thrombotic events, specifically cerebrovascular events, compared to kcentra, and no differences in mortality.
With a paucity of literature comparing the 2 agents, there is clinical. This gives factor ix complex a greater tendency to promote thrombosis This document provides recommendations for reversing anticoagulants in patients with bleeding complications
It compares different reversal agents, including pcc (kcentra®), and their mechanisms, onset, duration, and notes.
Patients with acute intracerebral hemorrhage who are receiving factor xa inhibitors have a risk of hematoma expansion The effect of andexanet alfa, an agent that reverses the effects of factor xa. Unlike kcentra, does not include any endogenous anticoagulants
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