[Current indications of low-molecular-weight heparins]

Ann Med Interne (Paris). 1997;148(2):154-62.
[Article in French]

Abstract

Low-molecular-weight heparins (LMWH) have different properties than non-fractionated heparins. Bioavailability is better after subcutaneous administration and a longer halflife allows a single daily injection. Efficacy is equivalent for postoperative thromboembolism prophylaxis for all types of surgery. In most reports, low-molecular-weight heparins are more effective than non fractionated heparin and lead to fewer episodes of hemorrhage and thrombocytopenia. For treatment of deep vein thrombosis, low-molecular-weight heparins are as effective as non-fractionated heparins after two, or even one, daily injection without hemostasis tests. Other on-going studies are evaluating LMWH indications in pulmonary embolism, artery disease, pregnancy or other medical conditions.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Cerebrovascular Disorders / therapy
  • Coronary Disease / therapy
  • Female
  • Heparin, Low-Molecular-Weight / administration & dosage
  • Heparin, Low-Molecular-Weight / therapeutic use*
  • Humans
  • Male
  • Postoperative Complications
  • Pregnancy
  • Thromboembolism / prevention & control*
  • Thromboembolism / therapy
  • Thrombophlebitis / prevention & control
  • Thrombophlebitis / therapy

Substances

  • Heparin, Low-Molecular-Weight