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In-hospital outcomes after switching from a bivalirudin- first strategy to an unfractionated heparin-first strategy for percutaneous coronary interventions

   
@article{CDT17475,
	author = {Rahul V. Jaswaney and Melissa C. Caughey and Christopher End and Patricia Sudar and Michael Yeung and Prashant Kaul and Joseph S. Rossi and George A. Stouffer and John P. Vavalle},
	title = {In-hospital outcomes after switching from a bivalirudin- first strategy to an unfractionated heparin-first strategy for  percutaneous coronary interventions},
	journal = {Cardiovascular Diagnosis and Therapy},
	volume = {8},
	number = {2},
	year = {2017},
	keywords = {},
	abstract = {Background: The optimal anticoagulation strategy for percutaneous coronary interventions (PCIs) remains debated. We report outcomes after switching from a bivalirudin-first to an unfractionated heparin (UFH)-first strategy for PCIs in a large academic center.  
Methods: Patients undergoing PCI from June 1st 2013–May 31st, 2015 were identified through the National Cardiovascular Data Registry (NCDR), and divided into the “bivalirudin era” (June 2013–July 2014) and the “UFH era” (October 2014–May 2015). Bleeding outcomes were compared using multivariable logistic regression adjusted for potential confounders.     
Results: A total of 1,145 patients were identified (bivalirudin era =752, UFH era =393). Radial access for PCI increased over time, and was lower in the bivalirudin era (26% vs. 34%, P},
	issn = {2223-3660},	url = {https://cdt.amegroups.org/article/view/17475}
}