• Catheter Cardiovasc Interv · Sep 2015

    Editorial Comment

    Bivalirudin: An expensive heparin?

    • Saurabh Gupta and Joaquin E Cigarroa.
    • Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon.
    • Catheter Cardiovasc Interv. 2015 Sep 1; 86 (3): 397-9.

    AbstractBleeding rates with unfractionated heparin (UH) without concomitant use of glycoprotein IIb/IIIa inhibitors as compared to bivalirudin are similar. Ischemic event rates during the index hospitalization are similar in the heparin and bivalirudin subgroups. Low does heparin (60-70 units/kg) with a target ACT of 200-250 sec may obviate the historical improved safety of bivalirudin demonstrated in certain clinical trials.© 2015 Wiley Periodicals, Inc.

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