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Z Gastroenterol 2014; 52(10): 1175-1177
DOI: 10.1055/s-0034-1385171
Kasuistik
© Georg Thieme Verlag KG Stuttgart · New York

Successful Treatment of Partial Portal Vein Thrombosis (PVT) with Low Dose Rivaroxaban

Erfolgreiche Behandlung einer partiellen Pfortaderthrombose mit niedrig dosiertem Rivaroxaban
K. Lenz
1   Internal and Intensive Care Medicine, Konventhospital Barmherzige Brüder, Linz
,
B. Dieplinger
2   Central Laboratory, Konventhospital Barmherzige Brüder, Linz
,
R. Buder
1   Internal and Intensive Care Medicine, Konventhospital Barmherzige Brüder, Linz
,
P. Piringer
1   Internal and Intensive Care Medicine, Konventhospital Barmherzige Brüder, Linz
,
M. Rauch
3   Radiology, Konventhospital Barmherzige Brüder, Linz
,
M. Voglmayr
1   Internal and Intensive Care Medicine, Konventhospital Barmherzige Brüder, Linz
› Author Affiliations
Further Information

Publication History

05 July 2014

08 August 2014

Publication Date:
14 October 2014 (online)

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Abstract

In a 63-year-old cirrhotic patient, recanalisation of a partial portal vein thrombosis was achieved by a low dose of rivaroxaban (10 mg daily). After anticoagulant therapy was stopped, partial vein thrombosis recurred. Restarting rivaroxaban at a dose of 10 mg led to recanalisation. The patient did not suffer any complications; in particular no bleeding occurred during 8 months of treatment.

Zusammenfassung

Bei einer 63-jährigen Patientin mit Leberzirrhose konnte durch Gabe von niedrig dosiertem Rivaroxaban (10 mg täglich p. o.) eine Auflösung einer partiellen Pfortaderthrombose erzielt werden. Nach Beendigung der Antikoagulation kam es zu einem Wiederauftreten der partiellen Pfortaderthrombose. Wiederum konnte durch 10 mg Rivaroxaban täglich nach 2 Monaten die Thrombose aufgelöst werden. Im Rahmen der Antikoagulation mit 10 mg Rivaroxaban täglich über einen Zeitraum von insgesamt 8 Monaten konnten keine Komplikationen, insbesondere keine Blutungen beobachtet werden.

Schlüsselwörter

Pfortaderthrombose - Antikoagulation - Rivaroxaban

Key words

portal vein thrombosis - anticoagulation - rivaroxaban
 

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