PMID- 15317403 OWN - NLM STAT- MEDLINE DCOM- 20041022 LR - 20190917 IS - 0277-0008 (Print) IS - 0277-0008 (Linking) VI - 24 IP - 7 Pt 2 DP - 2004 Jul TI - Evolving concepts in the treatment of venous thromboembolism: the role of factor Xa inhibitors. PG - 82S-87S AB - Anticoagulation is an essential component of the care of patients with venous thromboembolism (VTE). Traditional anticoagulants for the treatment of VTE include unfractionated heparin (UFH), low-molecular-weight heparin (LMWH), and the oral vitamin K antagonist, warfarin. A variety of anticoagulant agents with improved pharmacologic and clinical profiles are emerging and offer benefits over the traditional therapies. One of the most recent advances has been the development of new agents, such as oral direct thrombin inhibitors and factor Xa inhibitors, that have a more selective and targeted effect on the coagulation cascade. Recent clinical trials have evaluated fondaparinux, the first commercially available factor Xa inhibitor, in the treatment of patients with deep vein thrombosis and pulmonary embolism and indicate efficacy and safety as compared with traditional options such as UFH and LMWH. Fondaparinux is a welcomed addition to the available antithrombotic options. FAU - Nutescu, Edith A AU - Nutescu EA AD - Department of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois 60612, USA. enutescu@uic.edu FAU - Helgason, Cathy M AU - Helgason CM LA - eng PT - Journal Article PT - Review PL - United States TA - Pharmacotherapy JT - Pharmacotherapy JID - 8111305 RN - 0 (Anticoagulants) RN - 0 (Polysaccharides) RN - 9000-94-6 (Antithrombin III) RN - J177FOW5JL (Fondaparinux) SB - IM MH - Anticoagulants/adverse effects/*therapeutic use MH - Antithrombin III/adverse effects/*therapeutic use MH - Clinical Trials as Topic MH - Fondaparinux MH - Humans MH - Polysaccharides/adverse effects/*therapeutic use MH - Pulmonary Embolism/drug therapy MH - Thromboembolism/*drug therapy MH - Venous Thrombosis/*drug therapy RF - 31 EDAT- 2004/08/20 05:00 MHDA- 2004/10/23 09:00 CRDT- 2004/08/20 05:00 PHST- 2004/08/20 05:00 [pubmed] PHST- 2004/10/23 09:00 [medline] PHST- 2004/08/20 05:00 [entrez] AID - 10.1592/phco.24.10.82s.36121 [doi] PST - ppublish SO - Pharmacotherapy. 2004 Jul;24(7 Pt 2):82S-87S. doi: 10.1592/phco.24.10.82s.36121.