Estado actual de la anticoagulación. Nuevas estrategias preventivas y terapéuticas

Resumen:
Novel oral anticoagulants, dabigatran, rivaroxaban, apixaban and edoxaban are approved in several indications, such as the prevention of venous thromboembolism after elective hip or knee replacement, treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), prevention of recurrent DVT and PE and prevention of stroke in patients with non-valvular atrial fibrillation. These agents overcome some limitations of traditional anticoagulants, such as heparins and vitamin K antagonists, are suggested to have no requirement for routine coagulation monitoring and are administered orally. Therefore, they may represent a significant advance in the prophylaxis and treatment of thrombosis.