Safety of bivalirudin versus unfractionated heparin in endovascular revascularization of peripheral arteries in short- and long-term follow-up.

bivalirudin heparin long-term mortality peripheral artery disease

Journal

Postepy w kardiologii interwencyjnej = Advances in interventional cardiology
ISSN: 1734-9338
Titre abrégé: Postepy Kardiol Interwencyjnej
Pays: Poland
ID NLM: 101272671

Informations de publication

Date de publication:
2019
Historique:
received: 27 05 2018
accepted: 04 11 2018
entrez: 3 5 2019
pubmed: 3 5 2019
medline: 3 5 2019
Statut: ppublish

Résumé

Patients with peripheral artery disease (PAD) are considered as a high-risk group for hemorrhagic events. To assess the safety of bivalirudin vs. unfractionated heparin (UFH) in percutaneous peripheral interventions (PPI) in short- and long-term follow-up. The retrospective single-center, observational study included 160 patients, undergoing PPI. Patients were divided into 2 groups based on the use of anticoagulation - unfractionated heparin (UFH group) or bivalirudin (Biv. group) - and observed up to 5 years. The UFH group consisted of 101 patients and the Biv. group consisted of 59. We registered the following end points during in-hospital observation: 1 death (0.63% Biv, Usage of UFH was associated with a higher number of hemorrhagic complications, especially hematomas at the puncture site in comparison to patients receiving bivalirudin.

Identifiants

pubmed: 31043990
doi: 10.5114/aic.2019.81757
pii: 34960
pmc: PMC6488834
doi:

Types de publication

Journal Article

Langues

eng

Pagination

91-97

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Joanna Wojtasik-Bakalarz (J)

2 Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Paweł Kleczyński (P)

2 Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Wojciech Zasada (W)

2 Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Tomasz Rakowski (T)

2 Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Salech Arif (S)

2 Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Krzysztof Bartuś (K)

2 Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Dariusz Dudek (D)

2 Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Stanisław Bartuś (S)

2 Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.

Classifications MeSH