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Emergency reversal of Rivaroxaban with Andexanet alfa in a child with hemorrhagic brain metastasis from Wilms tumor.

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Title: Emergency reversal of Rivaroxaban with Andexanet alfa in a child with hemorrhagic brain metastasis from Wilms tumor.
Authors: Rafaelian A; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany. artem.rafaelian@med.uni-rostock.de., Won SY; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany., Mueller L; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany., Armbrust M; Goethe University, University Hospital Frankfurt, Neurological Institute (Edinger Institute), Frankfurt am Main, Germany.; German Cancer Consortium (DKTK), Partner site Frankfurt / Mainz and German Cancer Research Center (DKFZ), Heidelberg, Germany.; Goethe University, University Hospital Frankfurt, Frankfurt Cancer Institute (FCI), Frankfurt am Main, Germany.; Goethe University, University Hospital Frankfurt, University Cancer Center (UCT) Frankfurt-Marburg, Frankfurt am Main, Germany., Weber KJ; Goethe University, University Hospital Frankfurt, Neurological Institute (Edinger Institute), Frankfurt am Main, Germany.; German Cancer Consortium (DKTK), Partner site Frankfurt / Mainz and German Cancer Research Center (DKFZ), Heidelberg, Germany.; Goethe University, University Hospital Frankfurt, Frankfurt Cancer Institute (FCI), Frankfurt am Main, Germany.; Goethe University, University Hospital Frankfurt, University Cancer Center (UCT) Frankfurt-Marburg, Frankfurt am Main, Germany., Haas A; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Rostock University Medical Centre, Rostock, Germany., Reuter DA; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Rostock University Medical Centre, Rostock, Germany., Freiman TM; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany., Gessler F; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany., Spang C; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany., Meyer-Bahlburg A; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany., Hingst P; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany.; Department of Pediatrics and Adolescent Medicine, Section for Pediatric Hematology & Oncology and Palliative Care, Rostock University Medical Center, Rostock, Germany., Classen CF; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany.; Department of Pediatrics and Adolescent Medicine, Section for Pediatric Hematology & Oncology and Palliative Care, Rostock University Medical Center, Rostock, Germany., Dubinski D; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany., Cardesa-Salzmann TM; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany.; Department of Pediatrics and Adolescent Medicine, Section for Pediatric Hematology & Oncology and Palliative Care, Rostock University Medical Center, Rostock, Germany.
Source: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2026 May 02; Vol. 42 (1). Date of Electronic Publication: 2026 May 02.
Publication Type: Journal Article; Case Reports
Journal Info: Publisher: Springer International Country of Publication: Germany NLM ID: 8503227 Publication Model: Electronic Cited Medium: Internet ISSN: 1433-0350 (Electronic) Linking ISSN: 02567040 NLM ISO Abbreviation: Childs Nerv Syst Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: Emergency reversal of Rivaroxaban with Andexanet alfa in a child with hemorrhagic brain metastasis from Wilms tumor.
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  Data: <searchLink fieldCode="AU" term="%22Rafaelian+A%22">Rafaelian A</searchLink>; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany. artem.rafaelian@med.uni-rostock.de.<br /><searchLink fieldCode="AU" term="%22Won+SY%22">Won SY</searchLink>; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Mueller+L%22">Mueller L</searchLink>; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Armbrust+M%22">Armbrust M</searchLink>; Goethe University, University Hospital Frankfurt, Neurological Institute (Edinger Institute), Frankfurt am Main, Germany.; German Cancer Consortium (DKTK), Partner site Frankfurt / Mainz and German Cancer Research Center (DKFZ), Heidelberg, Germany.; Goethe University, University Hospital Frankfurt, Frankfurt Cancer Institute (FCI), Frankfurt am Main, Germany.; Goethe University, University Hospital Frankfurt, University Cancer Center (UCT) Frankfurt-Marburg, Frankfurt am Main, Germany.<br /><searchLink fieldCode="AU" term="%22Weber+KJ%22">Weber KJ</searchLink>; Goethe University, University Hospital Frankfurt, Neurological Institute (Edinger Institute), Frankfurt am Main, Germany.; German Cancer Consortium (DKTK), Partner site Frankfurt / Mainz and German Cancer Research Center (DKFZ), Heidelberg, Germany.; Goethe University, University Hospital Frankfurt, Frankfurt Cancer Institute (FCI), Frankfurt am Main, Germany.; Goethe University, University Hospital Frankfurt, University Cancer Center (UCT) Frankfurt-Marburg, Frankfurt am Main, Germany.<br /><searchLink fieldCode="AU" term="%22Haas+A%22">Haas A</searchLink>; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Rostock University Medical Centre, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Reuter+DA%22">Reuter DA</searchLink>; Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Rostock University Medical Centre, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Freiman+TM%22">Freiman TM</searchLink>; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Gessler+F%22">Gessler F</searchLink>; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Spang+C%22">Spang C</searchLink>; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Meyer-Bahlburg+A%22">Meyer-Bahlburg A</searchLink>; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Hingst+P%22">Hingst P</searchLink>; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany.; Department of Pediatrics and Adolescent Medicine, Section for Pediatric Hematology & Oncology and Palliative Care, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Classen+CF%22">Classen CF</searchLink>; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany.; Department of Pediatrics and Adolescent Medicine, Section for Pediatric Hematology & Oncology and Palliative Care, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Dubinski+D%22">Dubinski D</searchLink>; Department of Neurosurgery, Rostock University Medical Center, Rostock, Germany.<br /><searchLink fieldCode="AU" term="%22Cardesa-Salzmann+TM%22">Cardesa-Salzmann TM</searchLink>; Department of Pediatrics and Adolescent Medicine, Rostock University Medical Center, Rostock, Germany.; Department of Pediatrics and Adolescent Medicine, Section for Pediatric Hematology & Oncology and Palliative Care, Rostock University Medical Center, Rostock, Germany.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Springer+International%22">Springer International </searchLink><i>Country of Publication: </i>Germany <i>NLM ID: </i>8503227 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1433-0350 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2202567040%22">02567040 </searchLink><i>NLM ISO Abbreviation: </i>Childs Nerv Syst <i>Subsets: </i>MEDLINE
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        Value: 10.1007/s00381-026-07286-w
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        Text: English
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              Text: 2026 May 02
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