Surgery · Vascular Surgery (Arterial, Venous, Lymphatic Disorders)

In the treatment of deep vein thrombosis, the EINSTEIN-PE and EINSTEIN-DVT trials demonstrated non-inferiority of which agent compared to conventional heparin–warfarin therapy?

  • A Apixaban
  • B Dabigatran
  • C Edoxaban
  • D Rivaroxaban
Correct answer: D. Rivaroxaban

Explanation

The EINSTEIN-DVT and EINSTEIN-PE trials specifically evaluated rivaroxaban (Factor Xa inhibitor) against enoxaparin–vitamin K antagonist for VTE treatment. Rivaroxaban was non-inferior for efficacy (recurrent VTE) with a significantly lower rate of major bleeding in PE. These trials established rivaroxaban as a single-drug oral regimen, obviating the need for initial parenteral anticoagulation.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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