Bivalirudin or heparin for radial access?

Abstract

Bivalirudin is a reasonable choice during transradial PCI for acute MI when bleeding risk is high and clopidogrel or cangrelor is used Heparin is reasonable during transradial PCI when bleeding risk is low and high-intensity antiplatelet therapy is used Future studies are required to define the utility of post-PCI bivalirudin infusions.

• Authors: John A Bittl
• Journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (Catheter Cardiovasc Interv) Vol. 89 Issue 7 Pg. 1166-1167 (06 01 2017) ISSN: 1522-726X [Electronic] United States
• PMID: 28612420 (Publication Type: Editorial, Comment)
• Copyright: © 2017 Wiley Periodicals, Inc.

Chemical References

• Anticoagulants
• Hirudins
• Peptide Fragments
• Recombinant Proteins
• Heparin
• bivalirudin

Topics

• Anticoagulants
• Hemorrhage
• Heparin
• Hirudins
• Humans
• Myocardial Infarction
• Peptide Fragments
• Percutaneous Coronary Intervention
• Recombinant Proteins