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XARELTO®

(rivaroxaban)

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XARELTO - Management of bleeding - Registry data

Last updated : 08/25/2025

Beyer-Westendorf et al (2015) analyzed the rates, management, and outcome of XARELTO-related bleeding using data from a prospective, noninterventional oral anticoagulation registry.1

  • Between October 1, 2011, and December 31, 20131:

1776

patients were enrolled in the registry

42.9%

of patients (n=762) reported 1082 bleeding events during/within 3 days after the last intake of XARELTO

6.1%

of these events were classified as major, and PCC (n=3), FFP (n=3), and PCC/FFP were used in 9 of these cases.

  • Of the 6 patients who received PCC, only 1 case showed significant improvement (corrected INR from 4.0 to 1.4, PT ratio from 17% to 62%, and aPTT from 65.8 to 37.8 seconds).1
  • Slight changes were observed in 3 patients, of whom 2 had received the last intake of XARELTO >24 hours before admission.1
  • One patient died as a result of pneumonia and septic shock on day 16.1

aPTT, activated partial thromboplastin time; FFP, fresh frozen plasma; INR, international normalized ratio; PCC, prothrombin complex concentrate; PT, prothrombin time.

Reference

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1. Beyer-Westendorf J, Förster K, Pannach S, et al. Rates, management, and outcome of rivaroxaban bleeding in daily care: results from the Dresden NOAC registry. Blood. 2014;124(6):955-962.