{
  "abstract": "In a 14-year-old with antiphospholipid syndrome (APS) and lupus anticoagulant, improper switching from warfarin and low-dose aspirin to rivaroxaban led to life-threatening recurrent thrombosis, pulmonary embolism, and pulmonary hypertension. Prompt return to standard anticoagulation plus immunosuppression stabilized the condition. This case underscores that DOACs are contraindicated in high-risk APS.",
  "abstract_shown": true,
  "affiliations": [
    "Pediatric Respiratory Diseases Research Center (PRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Masih Daneshvari Hospital, Faculty of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran.",
    "Pediatric Respiratory Diseases Research Center (PRDRC), National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Masih Daneshvari Hospital, Faculty of Medicine, Masih Daneshvari Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.",
    "Clinical Research Development Center of Aliasghar Hospital Iran University of Medical Sciences Tehran Iran.",
    "Department of Pediatric Rheumatology, Mofid Children's Hospital Shahid Beheshti University of Medical Sciences Tehran Iran."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Azadeh Zeinab Mirzaee"
    },
    {
      "affs": [
        1
      ],
      "name": "Bita Paknejad"
    },
    {
      "affs": [
        2
      ],
      "name": "Aziz Eghbali"
    },
    {
      "affs": [
        3
      ],
      "name": "Reza Shiari",
      "orcid": "0000-0002-7712-279X"
    },
    {
      "affs": [
        1
      ],
      "name": "Niku Rahimi Afzal",
      "orcid": "0009-0000-1621-970X"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/f7r60xdg5hfjf.bib",
  "cited_by": 0,
  "doi": "10.1002/ccr3.73911",
  "fulltext_url": "https://europepmc.org/articles/PMC13748935",
  "id": "f7r60xdg5hfjf",
  "issns": [
    "2050-0904"
  ],
  "landing_url": "https://europepmc.org/article/MED/43011232",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2745|Systemic Lupus Erythematosus Research"
    ]
  ],
  "openalex": "W7225708963",
  "pdf_url": "https://europepmc.org/articles/PMC13748935?pdf=render",
  "pmcid": "PMC13748935",
  "pmid": "43011232",
  "published": "2026-11-09",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/f7r60xdg5hfjf.ris",
  "sources": [
    {
      "first_seen": "2026-11-12T15:23:59Z",
      "native_id": "MED:43011232",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/43011232"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2745|Systemic Lupus Erythematosus Research",
      "subfield": "general"
    }
  ],
  "title": "Successful Thromboembolectomy for PTE in an Adolescent Patient With Catastrophic APS and SLE.",
  "title_text": "Successful Thromboembolectomy for PTE in an Adolescent Patient With Catastrophic APS and SLE.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-14T03:20:07Z",
  "url": "https://research.draconitic.com/paper/f7r60xdg5hfjf",
  "venue": "Clinical case reports",
  "versions": []
}