Page last updated: 2024-10-18

dalteparin and Gastrointestinal Hemorrhage

dalteparin has been researched along with Gastrointestinal Hemorrhage in 22 studies

Dalteparin: A low-molecular-weight fragment of heparin, prepared by nitrous acid depolymerization of porcine mucosal heparin. The mean molecular weight is 4000-6000 daltons. It is used therapeutically as an antithrombotic agent. (From Merck Index, 11th ed)

Gastrointestinal Hemorrhage: Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.

Research Excerpts

ExcerptRelevanceReference
"Little is known about the efficacy of proton pump inhibitors compared with H(2) receptor antagonists in preventing adverse upper gastrointestinal complications in patients with acute coronary syndrome (ACS) or ST elevation myocardial infarction (STEMI) receiving aspirin, clopidogrel, and enoxaparin or thrombolytics."9.16Esomeprazole compared with famotidine in the prevention of upper gastrointestinal bleeding in patients with acute coronary syndrome or myocardial infarction. ( Chan, K; Chu, WM; Keung, KK; Kng, C; Kwan, A; Lam, KF; Lau, YK; Li, A; Ng, FH; Tunggal, P; Wong, BC, 2012)
"The combination of aspirin, clopidogrel, and enoxaparin (combination therapy) is the standard treatment for acute coronary syndrome but is associated with gastrointestinal bleeding."7.74Gastrointestinal bleeding in patients receiving a combination of aspirin, clopidogrel, and enoxaparin in acute coronary syndrome. ( Chang, CM; Chu, WM; Lam, KF; Lau, YK; Ng, FH; Wong, BC; Wong, SY, 2008)
"Little is known about the efficacy of proton pump inhibitors compared with H(2) receptor antagonists in preventing adverse upper gastrointestinal complications in patients with acute coronary syndrome (ACS) or ST elevation myocardial infarction (STEMI) receiving aspirin, clopidogrel, and enoxaparin or thrombolytics."5.16Esomeprazole compared with famotidine in the prevention of upper gastrointestinal bleeding in patients with acute coronary syndrome or myocardial infarction. ( Chan, K; Chu, WM; Keung, KK; Kng, C; Kwan, A; Lam, KF; Lau, YK; Li, A; Ng, FH; Tunggal, P; Wong, BC, 2012)
"The combination of aspirin, clopidogrel, and enoxaparin (combination therapy) is the standard treatment for acute coronary syndrome but is associated with gastrointestinal bleeding."3.74Gastrointestinal bleeding in patients receiving a combination of aspirin, clopidogrel, and enoxaparin in acute coronary syndrome. ( Chang, CM; Chu, WM; Lam, KF; Lau, YK; Ng, FH; Wong, BC; Wong, SY, 2008)
"Bleeding was predominantly gastrointestinal or intracranial."2.82Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors. ( Albaladejo, P; Beyer-Westendorf, J; Bronson, MD; Cohen, AT; Conley, PB; Connolly, SJ; Crowther, M; Curnutte, JT; Eikelboom, JW; Gibson, CM; Gold, A; Goodman, S; Leeds, J; Lim, WT; Lopez-Sendon, J; Lu, G; Meeks, B; Middeldorp, S; Milling, TJ; Nakamya, J; Schmidt, J; Siegal, DM; Verhamme, P; Wiens, BL; Zotova, E, 2016)
"Internal carotid artery stenosis was asymptomatic in 55% and symptomatic in 45%."2.73Safety and efficacy of intravenous enoxaparin for carotid endarterectomy: a prospective randomized pilot trial. ( Assadian, A; Hagmüller, GW; Hübl, W; Klingler, A; Knöbl, P; Pfaffelmeyer, N; Senekowitsch, C, 2008)
"The management of a patient with venous thrombosis with perinephric hematoma post renal biopsy can be difficult if occurred."1.72Double trouble - management of perinephric hematoma and renal vein thrombosis post percutaneous renal biopsy. ( Daud, MAM; Kamarudin, MI; Nadarajan, C, 2022)
": Lupus anticoagulant hypoprothrombinemia syndrome (LAHS) is a rare disorder characterized by development of lupus anticoagulant and antiprothrombin antibodies."1.48Fatal pulmonary embolism and pulmonary hemorrhage in lupus anticoagulant hypoprothrombinemia syndrome: a case report and review of literature. ( Chen, X; Cunningham, MT; Nedved, D; Plapp, FV, 2018)
"SVT favors the relapse of esophageal varices, but rebleeding can be effectively prevented by standard scheduled band ligations."1.38Splanchnic vein thrombosis and variceal rebleeding in patients with cirrhosis. ( Amitrano, L; Guardascione, MA; Lampasi, F; Lanza, AG; Manguso, F; Martino, R; Menchise, A; Scaglione, M, 2012)
"Gastrointestinal stromal tumors are the commonest stromal tumors of the digestive tract."1.36[Gastrointestinal stromal tumor in pregnancy and control. Case report]. ( Cuerva-González, MJ; de la Calle-Fernández, M; Lacoponi, S; Pozo-Krielinger, J, 2010)
" However, emerging evidence suggests that different dosing strategies may be equivalent."1.32Daily vs twice daily enoxaparin in the prevention of venous thromboembolic disorders during rehabilitation following acute spinal cord injury. ( Chen, D; Crandall, S; Hebbeler, SL; Marciniak, CM; Mendelewski, S; Nussbaum, S, 2004)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's8 (36.36)29.6817
2010's10 (45.45)24.3611
2020's4 (18.18)2.80

Authors

AuthorsStudies
Gao, Z1
Li, S1
Zhao, J1
Li, J2
Gao, Y1
Kaya, S1
Hatemi, I1
Hamzaoglu, I1
Uzunismail, H1
Kamarudin, MI1
Nadarajan, C1
Daud, MAM1
Oh, HJ1
Ryu, KH1
Park, BJ1
Yoon, BH1
Hoe, V1
Kinnear, N1
Christidis, D1
O'Connell, H1
Chen, X1
Nedved, D1
Plapp, FV1
Cunningham, MT1
Sengupta, N1
Feuerstein, JD1
Patwardhan, VR1
Tapper, EB1
Ketwaroo, GA1
Thaker, AM1
Leffler, DA1
Connolly, SJ1
Milling, TJ1
Eikelboom, JW1
Gibson, CM1
Curnutte, JT1
Gold, A1
Bronson, MD1
Lu, G1
Conley, PB1
Verhamme, P1
Schmidt, J1
Middeldorp, S1
Cohen, AT1
Beyer-Westendorf, J1
Albaladejo, P1
Lopez-Sendon, J1
Goodman, S1
Leeds, J1
Wiens, BL1
Siegal, DM1
Zotova, E1
Meeks, B1
Nakamya, J1
Lim, WT1
Crowther, M1
Kalu, ON1
Al-Khoury, G1
Reck, CA1
Velcek, F1
Goldhaber, SZ1
Bechmann, LP1
Sichau, M1
Wichert, M1
Gerken, G1
Kröger, K1
Hilgard, P1
Northup, PG1
Intagliata, NM1
Cuerva-González, MJ1
Lacoponi, S1
de la Calle-Fernández, M1
Pozo-Krielinger, J1
Ng, FH2
Tunggal, P1
Chu, WM2
Lam, KF2
Li, A1
Chan, K1
Lau, YK2
Kng, C1
Keung, KK1
Kwan, A1
Wong, BC2
Amitrano, L1
Guardascione, MA1
Scaglione, M1
Menchise, A1
Martino, R1
Manguso, F1
Lanza, AG1
Lampasi, F1
Hebbeler, SL1
Marciniak, CM1
Crandall, S1
Chen, D1
Nussbaum, S1
Mendelewski, S1
DeWitt, E1
Adams, J1
Bostwick, C1
O'Dell, M1
Wessinger, S1
Kaplan, M1
Choi, L1
Williams, M1
Lau, C1
Sharp, L1
Crowell, MD1
Keshavarzian, A1
Jones, MP1
Wong, SY1
Chang, CM1
Assadian, A1
Knöbl, P1
Hübl, W1
Senekowitsch, C1
Klingler, A1
Pfaffelmeyer, N1
Hagmüller, GW1
Raithel, M1
Haibach, M1
Kremenevski, I1
Arnold, E1
Ringwald, J1
Xiang, Y1
Sun, Y1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Optimal Delay Time to Initiate Anticoagulation After Ischemic Stroke in Atrial Fibrillation[NCT03021928]Phase 3200 participants (Actual)Interventional2017-06-14Active, not recruiting
Prospective, Open-Label Study of Andexanet Alfa in Patients Receiving a Factor Xa Inhibitor Who Have Acute Major Bleeding (ANNEXA-4)[NCT02329327]Phase 3479 participants (Actual)Interventional2015-04-10Completed
Famotidine Compared With Esomeprazole in the Prevention of Ulcer Complications in Patients With Acute Coronary Syndrome or Myocardial Infarction[NCT00683111]Phase 4500 participants (Anticipated)Interventional2008-07-31Completed
Beijing Tiantan Hospital,Capital Medical University.[NCT02317445]472 participants (Actual)Observational2008-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Change From Baseline In Anti-fXa Activity By FXa Inhibitor

Anti-fXa activity was measured to assess the ability of andexanet to reverse the anticoagulant effect of FXa inhibitors. Baseline was defined as the last value obtained prior to the start of the andexanet bolus. The change from baseline was calculated as the reduction in anti-fXa activity from baseline to the on-treatment nadir (that is, the minimum value between end of bolus and end of infusion). Percent reduction was calculated as the ratio between the maximum change from baseline and the baseline value, multiplied by 100. (NCT02329327)
Timeframe: Baseline, 12 Hours (post infusion)

InterventionPercent Change (Median)
FXa Inhibitor: Apixaban-93.3
FXa Inhibitor: Rivaroxaban-94.1
FXa Inhibitor: Edoxaban-71.3
FXa Inhibitor: Enoxaparin-75.41
FXa Inhibitor: Rivaroxaban - Additional Participants-96.3

Participants Achieving Hemostatic Efficacy

Hemostatic efficacy was achieved when the body had time to produce thrombin and a subsequent clot and was rated by the EAC as: excellent; good; poor/none; not evaluable due to non-administrative reasons; not evaluable due to administrative reasons. These ratings were based on pre-specified criteria that were included in the EAC Charter. The EAC was blinded to anti-fXa activity levels. Participant results were classified as either success or failure based on the hemostatic efficacy rating (success = excellent/good, failure = poor/none). Participants rated by the EAC as non-evaluable due to administrative reasons were excluded from the analysis of hemostatic efficacy. (NCT02329327)
Timeframe: 12 Hours (post infusion)

,,,,,,,,,,,,,
InterventionParticipants (Count of Participants)
Excellent/GoodPoor/None
Andexanet: High Dose5417
Andexanet: High Dose - Additional Participant10
Andexanet: Low Dose21851
Andexanet: Low Dose - Additional Participant10
Bleed Type: Gastrointestinal6113
Bleed Type: Intracranial Hemorrhage19351
Bleed Type: Intracranial Hemorrhage - Additional Participants20
Bleed Type: Other184
FXa Inhibitor: Apixaban13435
FXa Inhibitor: Edoxaban226
FXa Inhibitor: Enoxaparin142
FXa Inhibitor: Rivaroxaban10225
FXa Inhibitor: Rivaroxaban - Additional Participants20
Overall27268

Percent Change From Baseline In Anti-fXa Activity By Hemostatic Efficacy

This outcome measure assessed the relationship between hemostatic efficacy and anti-fXa activity in participants receiving an FXa inhibitor who had acute major bleeding. Anti-fXa activity was measured to assess the ability of andexanet to reverse the anticoagulant effect of FXa inhibitors. Baseline was defined as the last value obtained prior to the start of the andexanet bolus. Hemostatic efficacy was achieved when the body had time to produce thrombin and a subsequent clot and was rated by the EAC as: excellent; good; poor/none; not evaluable due to non-administrative reasons; not evaluable due to administrative reasons. (NCT02329327)
Timeframe: Baseline, 12 Hours (post infusion)

InterventionPercent Change (Median)
Excellent/Good
FXa Inhibitor: Rivaroxaban - Additional Participants-96.3

Percent Change From Baseline In Anti-fXa Activity By Hemostatic Efficacy

This outcome measure assessed the relationship between hemostatic efficacy and anti-fXa activity in participants receiving an FXa inhibitor who had acute major bleeding. Anti-fXa activity was measured to assess the ability of andexanet to reverse the anticoagulant effect of FXa inhibitors. Baseline was defined as the last value obtained prior to the start of the andexanet bolus. Hemostatic efficacy was achieved when the body had time to produce thrombin and a subsequent clot and was rated by the EAC as: excellent; good; poor/none; not evaluable due to non-administrative reasons; not evaluable due to administrative reasons. (NCT02329327)
Timeframe: Baseline, 12 Hours (post infusion)

,,,
InterventionPercent Change (Median)
Excellent/GoodPoor/None
FXa Inhibitor: Apixaban-93.4-93.3
FXa Inhibitor: Edoxaban-75.8-65.2
FXa Inhibitor: Enoxaparin-75.20-78.44
FXa Inhibitor: Rivaroxaban-94.6-92.4

Reviews

1 review available for dalteparin and Gastrointestinal Hemorrhage

ArticleYear
The risk of gastrointestinal hemorrhage with non-vitamin K antagonist oral anticoagulants: A network meta-analysis.
    Medicine, 2021, Mar-19, Volume: 100, Issue:11

    Topics: Administration, Oral; Adult; Aged; Anticoagulants; Atrial Fibrillation; Dabigatran; Enoxaparin; Fema

2021

Trials

4 trials available for dalteparin and Gastrointestinal Hemorrhage

ArticleYear
Anticoagulation therapy early is safe in portal vein thrombosis patients with acute variceal bleeding: a multi-centric randomized controlled trial.
    Internal and emergency medicine, 2023, Volume: 18, Issue:2

    Topics: Albumins; Anticoagulants; Esophageal and Gastric Varices; Fibrosis; Gastrointestinal Hemorrhage; Hum

2023
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors.
    The New England journal of medicine, 2016, 09-22, Volume: 375, Issue:12

    Topics: Acute Disease; Aged; Aged, 80 and over; Cardiovascular Diseases; Enoxaparin; Factor Xa; Factor Xa In

2016
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors.
    The New England journal of medicine, 2016, 09-22, Volume: 375, Issue:12

    Topics: Acute Disease; Aged; Aged, 80 and over; Cardiovascular Diseases; Enoxaparin; Factor Xa; Factor Xa In

2016
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors.
    The New England journal of medicine, 2016, 09-22, Volume: 375, Issue:12

    Topics: Acute Disease; Aged; Aged, 80 and over; Cardiovascular Diseases; Enoxaparin; Factor Xa; Factor Xa In

2016
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors.
    The New England journal of medicine, 2016, 09-22, Volume: 375, Issue:12

    Topics: Acute Disease; Aged; Aged, 80 and over; Cardiovascular Diseases; Enoxaparin; Factor Xa; Factor Xa In

2016
Esomeprazole compared with famotidine in the prevention of upper gastrointestinal bleeding in patients with acute coronary syndrome or myocardial infarction.
    The American journal of gastroenterology, 2012, Volume: 107, Issue:3

    Topics: Acute Coronary Syndrome; Aged; Anti-Ulcer Agents; Aspirin; Chi-Square Distribution; Clopidogrel; Dou

2012
Safety and efficacy of intravenous enoxaparin for carotid endarterectomy: a prospective randomized pilot trial.
    Journal of vascular surgery, 2008, Volume: 47, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Anticoagulants; Blood Loss, Surgical; Blood Transfusion; Brain Ische

2008

Other Studies

17 other studies available for dalteparin and Gastrointestinal Hemorrhage

ArticleYear
Massive haemorrhage induced by low molecular weight heparin in a patient with steroid refractory ulcerative colitis.
    Scandinavian journal of gastroenterology, 2004, Volume: 39, Issue:6

    Topics: Adult; Anticoagulants; Colitis, Ulcerative; Female; Gastrointestinal Hemorrhage; Humans; Nadroparin;

2004
Double trouble - management of perinephric hematoma and renal vein thrombosis post percutaneous renal biopsy.
    BMC nephrology, 2022, 09-09, Volume: 23, Issue:1

    Topics: Adult; Biopsy; Enoxaparin; Gastrointestinal Hemorrhage; Hematoma; Hematuria; Humans; Kidney Diseases

2022
Rectus sheath haematoma causing ureteric obstruction.
    BMJ case reports, 2018, Jul-10, Volume: 2018

    Topics: Adenocarcinoma; Aged, 80 and over; Anticoagulants; Colonic Neoplasms; Enoxaparin; Female; Gastrointe

2018
Fatal pulmonary embolism and pulmonary hemorrhage in lupus anticoagulant hypoprothrombinemia syndrome: a case report and review of literature.
    Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis, 2018, Volume: 29, Issue:8

    Topics: Aged; Anticoagulants; Antiphospholipid Syndrome; Enoxaparin; Fatal Outcome; Female; Gastrointestinal

2018
The risks of thromboembolism vs. recurrent gastrointestinal bleeding after interruption of systemic anticoagulation in hospitalized inpatients with gastrointestinal bleeding: a prospective study.
    The American journal of gastroenterology, 2015, Volume: 110, Issue:2

    Topics: Aged; Aged, 80 and over; Anticoagulants; Benzimidazoles; beta-Alanine; Cohort Studies; Dabigatran; E

2015
Submucosal hematoma presenting as small bowel obturator obstruction in a patient on low-molecular-weight heparin.
    Journal of pediatric surgery, 2008, Volume: 43, Issue:8

    Topics: Anastomosis, Surgical; Child, Preschool; Enoxaparin; Female; Follow-Up Studies; Gastrointestinal Hem

2008
Ask the doctor. I am due to have a colonoscopy. My cardiologist told me that I will need to stop taking Coumadin, which I take for atrial fibrillation, a few days before the procedure and get some injections. Is this really necessary?
    Harvard heart letter : from Harvard Medical School, 2009, Volume: 19, Issue:10

    Topics: Anticoagulants; Colonoscopy; Dalteparin; Enoxaparin; Gastrointestinal Hemorrhage; Humans; Preoperati

2009
Low-molecular-weight heparin in patients with advanced cirrhosis.
    Liver international : official journal of the International Association for the Study of the Liver, 2011, Volume: 31, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anticoagulants; Antithrombin III; Blood Coagulation; Dru

2011
Anticoagulation in cirrhosis patients: what don't we know?
    Liver international : official journal of the International Association for the Study of the Liver, 2011, Volume: 31, Issue:1

    Topics: Anticoagulants; Antithrombin III; Blood Coagulation; Drug Monitoring; Enoxaparin; Esophageal and Gas

2011
[Gastrointestinal stromal tumor in pregnancy and control. Case report].
    Ginecologia y obstetricia de Mexico, 2010, Volume: 78, Issue:12

    Topics: Adult; Anticoagulants; Cesarean Section; Embolism, Amniotic Fluid; Emergencies; Enoxaparin; Female;

2010
Splanchnic vein thrombosis and variceal rebleeding in patients with cirrhosis.
    European journal of gastroenterology & hepatology, 2012, Volume: 24, Issue:12

    Topics: Aged; Anticoagulants; Chi-Square Distribution; Endoscopy, Gastrointestinal; Enoxaparin; Esophageal a

2012
Daily vs twice daily enoxaparin in the prevention of venous thromboembolic disorders during rehabilitation following acute spinal cord injury.
    The journal of spinal cord medicine, 2004, Volume: 27, Issue:3

    Topics: Drug Administration Schedule; Enoxaparin; Female; Fibrinolytic Agents; Gastrointestinal Hemorrhage;

2004
Gastrointestinal bleeding in an elderly patient with a recent hip replacement.
    Journal of the Mississippi State Medical Association, 2004, Volume: 45, Issue:12

    Topics: Aged; Aged, 80 and over; Anticoagulants; Arthroplasty, Replacement, Hip; Contraindications; Diagnosi

2004
Increased use of selective serotonin reuptake inhibitors in patients admitted with gastrointestinal haemorrhage: a multicentre retrospective analysis.
    Alimentary pharmacology & therapeutics, 2006, Apr-01, Volume: 23, Issue:7

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Anticoagulants; Aspirin; Black or African American; B

2006
Gastrointestinal bleeding in patients receiving a combination of aspirin, clopidogrel, and enoxaparin in acute coronary syndrome.
    The American journal of gastroenterology, 2008, Volume: 103, Issue:4

    Topics: Acute Coronary Syndrome; Adult; Aged; Aged, 80 and over; Anticoagulants; Aspirin; Clopidogrel; Drug

2008
[Modern anticoagulation with factor Xa inhibitors in oncology: is the gastrointestinal bleeding rate (also) decisive?]
    Zeitschrift fur Gastroenterologie, 2023, Volume: 61, Issue:4

    Topics: Anticoagulants; Dalteparin; Factor Xa Inhibitors; Gastrointestinal Hemorrhage; Humans; Neoplasms; Pr

2023
A case report of pulmonary arterial hypertension in pregnancy and complications of anticoagulation therapy.
    Medicine, 2018, Volume: 97, Issue:32

    Topics: Adult; Anticoagulants; Antihypertensive Agents; Cardiovascular Agents; Dalteparin; Epoprostenol; Fem

2018