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Effects of argatroban as an anticoagulant for haemodialysis in patients with antithrombin III deficiency
Author(s) -
Kazuo Ota,
Tadao Akizawa,
Yoshihei Hirasawa,
Tetsuzo Agishi,
Noriaki Matsui
Publication year - 2003
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfg320
Subject(s) - argatroban , medicine , antithrombin , anticoagulant , heparin , hemodialysis , adverse effect , direct thrombin inhibitor , anesthesia , surgery , thrombin , warfarin , dabigatran , atrial fibrillation , platelet
In congenital or acquired antithrombin III-deficient patients undergoing haemodialysis, coagulation or residual blood in the blood circuit and dialyser is commonly observed under anticoagulation with heparin. Argatroban, a synthetic thrombin antagonist, directly inhibits thrombin activity in a manner that is different from that of heparin, thereby displaying an anticoagulating effect without the activation of antithrombin III. For this reason, the anticoagulating effect of argatroban in haemodialysis patients with antithrombin III deficiency was investigated.

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