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

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

Anticoagulation

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

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. link to original article. PubMed.