Table 1. Case summaries

Case 1 Case 2 Case 3
Age (years) 61 53 90
Gender Male Male Female
Dose of dabigatran 150 mg BID 150 mg BID 110 mg BID
Last dose of dabigatran (hours) 11 4 10
eGFR (ml/min/1.73 m2) 55 AKI 46
Initial Hb (g/L) 116 143 126
Initital PT (s) 16.7 15.2 14.3
Initial INR 1.33 1.37 1.34
Initial aPTT (seconds) 45.9 50.5 72.2
aPTT post idarucizumab (seconds) 33.7 31.9 33.1
Indication for idarucizumab Emergency surgery (heart transplant) Emergency surgery (acute appendicitis) Life-threatening bleeding (intracranial hemorrhage)
Outcome after idarucizumab administration Uneventful surgery, discharged Uneventful surgery, discharged Repeat CT: No increase of ICH size, only conservative management
Notes: Dabigatran last dose: The time from the last dose of dabigatran to the use of idarucizumab
Abbreviations: eGFR, estimated glomerular rate is estimated MDRD equation; AKI, acute kidney injury; ICH, intracranial haemorrhage; CT, computed tomography.