Heparin-induced thrombocytopenia

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Shruti Chaturvedi, MBBS, MSCI
Baltimore, MD

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Benjamin Tillman, MD
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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.