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Measurement of apixaban, dabigatran, edoxaban and rivaroxaban in human plasma using automated online solid-phase extraction combined with ultra-performance liquid chromatography-tandem mass spectrometry and its comparison with coagulation assays

Measurement of direct oral anticoagulants (DOACs) concentration in patient blood is essential in special clinical circumstances. We developed a fast, selective and sensitive method for simultaneous measurement of DOACs in human plasma consisting of an automated online solid-phase extraction method c...

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Bibliographic Details
Published in:Clinica chimica acta 2018-11, Vol.486, p.347-356
Main Authors: Kuhn, Joachim, Gripp, Tatjana, Flieder, Tobias, Hammerschmidt, Andreas, Hendig, Doris, Faust, Isabel, Knabbe, Cornelius, Birschmann, Ingvild
Format: Article
Language:English
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Summary:Measurement of direct oral anticoagulants (DOACs) concentration in patient blood is essential in special clinical circumstances. We developed a fast, selective and sensitive method for simultaneous measurement of DOACs in human plasma consisting of an automated online solid-phase extraction method coupled with ultra-performance liquid chromatography electrospray ionization-tandem mass spectrometry (online SPE-UPLC-MS/MS). The calibration curves of all DOACs were linear over the working range (apixaban: 0.25–760 μg/L, r > 0.99; dabigatran: 0.5–900 μg/L, r > 0.99; edoxaban: 0.6–800 μg/L, r > 0.99; rivaroxaban: 0.5–900 μg/L, r > 0.99). Limits of detection in the plasma matrix were 
ISSN:0009-8981
1873-3492
DOI:10.1016/j.cca.2018.08.017