Difference between revisions of "Heparin-induced thrombocytopenia"

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=All lines of therapy=
 
=All lines of therapy=
 
==Argatroban monotherapy==
 
==Argatroban monotherapy==
 +
===Regimen===
 
{| class="wikitable"
 
{| class="wikitable"
 
!Study
 
!Study
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!Efficacy
 
!Efficacy
 
|-
 
|-
|[https://www.ncbi.nlm.nih.gov/pubmed/11294800 Lewis et al. 2001]
+
|[https://www.ahajournals.org/doi/abs/10.1161/circ.103.14.1838 Lewis et al. 2001 (ARG-911)]
 
|Prospective, historical control
 
|Prospective, historical control
 
|Multiple
 
|Multiple
 
|Reduced all-cause death, all-cause amputation, and new thrombosis
 
|Reduced all-cause death, all-cause amputation, and new thrombosis
 
|}
 
|}
 +
====Anticoagulation====
 +
*[[Argatroban (Acova)]] 2 mcg/kg/min IV adjusted to maintain activated partial thromboplastin time 1.5 to 3.0 times baseline value.
  
=== Anticoagulation ===
+
===References===
* Argatroban 2 ug/kg/min IV adjusted to maintain activated partial thromboplastin time 1.5 to 3.0 times baseline value.
+
# '''ARG-911:''' Lewis BE, Wallis DE, Berkowitz SD, Matthai WH, Fareed J, Walenga JM, Bartholomew J, Sham R, Lerner RG, Zeigler ZR, Rustagi PK, Jang IK, Rifkin SD, Moran J, Hursting MJ, Kelton JG; ARG-911 Study Investigators. Argatroban anticoagulant therapy in patients with heparin-induced thrombocytopenia. Circulation. 2001 Apr 10;103(14):1838-43. [https://www.ahajournals.org/doi/abs/10.1161/circ.103.14.1838 link to original article.] [https://www.ncbi.nlm.nih.gov/pubmed/11294800 PubMed.]
 
 
== References ==
 
B.E. Lewis, D.E. Wallis, S.D. Berkowitz, W.H. Matthai, J. Fareed, J.M. Walenga, J. Bartholomew, R. Sham, R.G. Lerner, Z.R. Zeigler, P.K. Rustagi, I.K. Jang, S.D. Rifkin, J. Moran, M.J. Hursting, J.G. Kelton, for the ARG-911 Study Investigators. Argatroban anticoagulant therapy in patients with Heparin-induced thrombocytopenia. Circulation. 2001;103:1838-1843. [https://www.ahajournals.org/doi/abs/10.1161/circ.103.14.1838 link to original article.] [https://www.ncbi.nlm.nih.gov/pubmed/11294800 PubMed.]
 
  
 
[[Category:Heparin-induced thrombocytopenia (HIT) regimens]]
 
[[Category:Heparin-induced thrombocytopenia (HIT) regimens]]

Revision as of 18:19, 9 September 2018

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Shruti Chaturvedi, MBBS, MSCI
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Guidelines

To be completed

All lines of therapy

Argatroban monotherapy

Regimen

Study Evidence Comparator Efficacy
Lewis et al. 2001 (ARG-911) Prospective, historical control Multiple Reduced all-cause death, all-cause amputation, and new thrombosis

Anticoagulation

  • Argatroban (Acova) 2 mcg/kg/min IV adjusted to maintain activated partial thromboplastin time 1.5 to 3.0 times baseline value.

References

  1. ARG-911: Lewis BE, Wallis DE, Berkowitz SD, Matthai WH, Fareed J, Walenga JM, Bartholomew J, Sham R, Lerner RG, Zeigler ZR, Rustagi PK, Jang IK, Rifkin SD, Moran J, Hursting MJ, Kelton JG; ARG-911 Study Investigators. Argatroban anticoagulant therapy in patients with heparin-induced thrombocytopenia. Circulation. 2001 Apr 10;103(14):1838-43. link to original article. PubMed.