DOACs in Hemodialysis

[Linda Gross]

Hello all.  In light of the citrate collection tube shortage for INRs,  are there any hemodialysis units out there that are actively switching patients on warfarin to a DOAC? Or perhaps already have a level of comfort with using DOACs in HD?  If so, are there criteria that are used to switch eg, low bleed risk?  Any info appreciated.

/Linda

[Elena Sze]

Hi Linda,

In Scarborough, many of our hemodialysis patients on warfarin for atrial fibrillation have switched over the apixaban a number of years ago. We occasionally see patients on DOAC s for DVT treatment as well.

If patients are on transplant lists they usually stay on warfarin.

Elena

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