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Journal of Veterinary Internal Medicine
Article . 2025 . Peer-reviewed
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PubMed Central
Article . 2025
License: CC BY
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Monitoring of Rivaroxaban Therapy in Hypercoagulable Dogs

Authors: Erin M. Phillips; Shauna L. Blois; Anthony C. G. Abrams-Ogg; R. Darren Wood; Gabrielle Monteith; Benoît Cuq;

Monitoring of Rivaroxaban Therapy in Hypercoagulable Dogs

Abstract

Abstract Background Measurement of rivaroxaban efficacy using the rivaroxaban-specific anti-Xa assay (raXa) can be used for monitoring in veterinary medicine. Detection of rivaroxaban efficacy using other hemostatic tests would make monitoring timelier and more accessible. Objectives Compare results of raXa with prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen concentration, tissue factor (TF) and kaolin-activated thromboelastography (TEG), and thrombin generation (TG) in hypercoagulable dogs. Animals Twelve client-owned dogs, diagnosed with hypercoagulability or thromboembolic disease, and prescribed rivaroxaban, were recruited from a tertiary referral hospital from 2020 to 2022. Methods Prospective clinical trial. Jugular vein blood samples were collected before treatment, and 1 week and 1–3 months after initiation of rivaroxaban therapy. Hemostatic tests were performed at each visit (3 h after rivaroxaban dosing). TG curve parameters lag time, endogenous thrombin potential (ETP), peak, and time to peak (ttpeak) were assessed. Results There was a significant linear relationship between raXa and PT (r2 = 0.74, p < 0.001), ETP (r2 = 0.83, p < 0.001), lag time (r2 = 0.87, p < 0.001), peak (r2 = 0.86, p < 0.001), and ttpeak (r2 = 0.86, p < 0.001). There was a weak linear relationship between raXa and kaolin-activated TEG parameter reaction time (R) (r2 = 0.49, p = 0.026). There was no significant relationship between raXa and aPTT, fibrinogen concentration and the remainder of the TEG variables (p > 0.05). Conclusion and Clinical Importance PT and TG correlated with raXa. PT performed at a reference laboratory appeared to be a convenient method to monitor a small cohort of dogs receiving rivaroxaban therapy.

Keywords

Male, Veterinary medicine, STANDARD ARTICLE, anti‐Xa assay, prothrombin time (PT), Thrombelastography, Dogs, Rivaroxaban, thrombin generation, SF600-1100, Prothrombin Time, Animals, Thrombophilia, Female, Partial Thromboplastin Time, Dog Diseases, Prospective Studies, Blood Coagulation Tests, Factor Xa Inhibitors

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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