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World J Hepatol. Apr 27, 2022; 14(4): 682-695
Published online Apr 27, 2022. doi: 10.4254/wjh.v14.i4.682
Table 2 Efficacy of direct oral anticoagulants in portal vein thrombosis treatment in cirrhosis
Ref.
Study design
Drug administrated (n of patients)
Duration of treatment
PVT type
Results (cases vs controls)
Ai et al[87] Prospective cohort study Rivaroxaban 20 mg once daily (26 pts)6 moChronic PVT; At 3 mo:; Complete/partial recanalization: 5 vs 0 (P = 0.026); At 6 mo:; Complete/partial recanalization: 11 vs 1 (P = 0.003)
Dabigatran 150 mg twice daily (14 pts) 6 mo
No treatment (40 pts)
Hanafy et al[88] Randomized, controlled, interventional, open-label study Rivaroxaban 10 mg twice daily (40 pts)Until recanalization and prolonged for 1 or 2 mo in complete recanalization of PVT which non-involvement/ involvement of SMV and for 6 mo in case of positive thrombogenic assay or partial recanalization; Acute PVTComplete recanalization: 34 vs 18 (P = 0.001); Partial recanalization: 6 vs 0 (P = 0.001)
Warfarin (40 pts)
Nagaoki et al[86]Retrospective cohort study Edoxaban 60 mg or 30 mg once daily (20 pts) 6 moPVT Complete recanalization: 14 vs 6 (P < 0.001); Partial recanalization: 4 vs 3 (P = 0.312)
Warfarin (30 pts)