American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
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Am J Health Syst Pharm · Apr 2016
Case ReportsInfluence of apixaban on antifactor Xa levels in a patient with acute kidney injury.
The case of a patient requiring conversion from apixaban to heparin in the setting of acute kidney injury is reported. ⋯ A 70-year-old man with new-onset nonvalvular atrial fibrillation and receiving apixaban discontinued this therapy and was given heparin instead due to acute kidney injury. His heparin dosage was successfully adjusted based on antifactor Xa levels and aPPTs.