It has been brought to the publisher's attention that the reference citations in [Table 1] were incorrect in the above article in Seminars in Thrombosis and Hemostasis, Volume 43, Number 6, 2017 (DOI: 10.1055/s-0037-1603361).
The references cited in the table are provided below. The correct table appears on the next page.
5 Breuer L, Ringwald J, Schwab S, Köhrmann M. Ischemic stroke in an obese patient receiving dabigatran [letter]. N Engl JMed 2013;368(25):2440–2442
6 Douros A, Schlemm L, Bolbrinker J, Ebinger M, Kreutz R. Insufficient anticoagulation with dabigatran in a patient with short bowel syndrome [letter]. Thromb Haemost 2014;112(02):419–420
7 Sargento-Freitas J, Silva F, Pego J, Duque C, Cordeiro G, Cunha L. Cardioembolic stroke in a patient taking dabigatran etexilate: the first case report of clinical and pharmacologic resistance [letter]. J Neurol Sci 2014;346(1–2):348–349
8 Lee D, DeFilipp Z, Judson K, Kennedy M. Subtherapeutic anticoagulation with dabigatran following Roux-en-Y bypass surgery [letter]. J Cardiol Cases 2013;8:e49–e50
Table 1
Published reports for dabigatran and below expected within therapy (or unexpectedly low) plasma concentrations
Patient number
Sex/Age
Dose (mg)
Duration of dabigatran use
Time to concentration measurement
Indication
Concomitant drugs
Thrombotic, ischemic or embolic events
Dabigatran concentration method
Dabigatran concentration
aPTT
Comments and other potential contributors
1.
Breuer et al, 20135
M/48
150 mg bd
∼31 d
28 and 31 d
AF paroxysmal
Omeprazole
Cerebral infarction, embolic
Hemoclot
Trough not detectable day of stroke, 10 h post dose
After witnessed intake for 3 d, peak 50 ng/mL at 4 h
Not reported
Weight 153 kg. BMI 44.7, creatinine clearance 163 mL/min.
2.
Douros et al, 20146
F/81
110 mg bd
Not stated
3 mo
AF
Pantoprazole
Lercanidipine
Clonidine
Metoprolol
Triamterene
Hydrochlorothiazide
Furosemide
Isosorbide mononitrate
Dysarthria, facial palsy with AF, presumed diagnosis of cardioembolic stroke of cerebral artery
Hemoclot
Peak and trough concentrations, 2 and 12 h after witnessed administration, 31 and 21 ng/mL
Normal at dabigatran trough
Short-gut syndrome following surgery for embolic mesenteric ischemia
SNPs affecting liver carboxylesterase and P-glycoprotein
GFR (37–43 mL/min).
3.
Sargento-Freitas et al, 20147
F/70
110 mg bd
31 d
31 d
AF, acute ischemic stroke, occlusion terminal segment right internal carotid artery
Lorazepam
Mirtazapine
Furosemide
Fluoxetine
Simvastatin
Bisoprolol
Ramipril
Digoxin
Omeprazole
None
Hemoclot
Peak concentrations after confirmed intake (ng/mL): 1) 40.6 at 31 d, 110 mg bd
Normal 7 h after dose in hospital, and at each point when dabigatran concentrations measured.
Creatinine clearance 65 mL/min
4.
Lee et al, 20138
F/67
Dose not stated
9 mo
9 mo
AF
Pantoprazole
None
Not stated
Trough concentration 21 ng/mL
Not measured
Roux-en-Y gastric bypass.
Abbreviations: aPTT, activated partial thromboplastin time; AF, atrial fibrillation; bd, twice a day; BMI, body mass index; GFR, glomerular filtration rate; SNP, single nucleotide polymorphism.