DOAC Reversal
Emergency surgery or urgent procedure
Stop anticoagulant treatment; volume resuscitation and transfusion as needed
Antidotes:
• Apixaban, Edoxaban or Rivaroxaban - Andexanet alfa - Recombinant modified factor Xa
• Dabigatran - Idarucizumab - Humanized Fab fragment
Prothrombin complex concentrate - If antidotes not available
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