Value of monitoring activated clotting time when bivalirudin is used as the sole anticoagulation agent for percutaneous coronary intervention

Am J Cardiol. 2004 Sep 15;94(6):789-92. doi: 10.1016/j.amjcard.2004.05.068.

Abstract

Anticoagulation during percutaneous coronary intervention (PCI) requires the monitoring of activated clotting time (ACT) to protect from periprocedural ischemic and bleeding complications; however, the optimal ACT values have not been established when PCI is performed with bivalirudin. After 495 consecutive patients treated for coronary artery disease with PCI received bivalirudin as a single anticoagulation agent, it was found that ACT is reproducible when bivalirudin is used during PCI and does not correlate with clinical events.

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary*
  • Anticoagulants / administration & dosage*
  • Chi-Square Distribution
  • Coronary Artery Disease / blood
  • Coronary Artery Disease / therapy*
  • Female
  • Hirudins / administration & dosage*
  • Hirudins / analogs & derivatives*
  • Humans
  • Male
  • Middle Aged
  • Peptide Fragments / administration & dosage*
  • Recombinant Proteins / administration & dosage*
  • Reproducibility of Results
  • Retrospective Studies
  • Whole Blood Coagulation Time*

Substances

  • Anticoagulants
  • Hirudins
  • Peptide Fragments
  • Recombinant Proteins
  • bivalirudin