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A look into stent‐related thrombus‐burden: Bivalirudin versus heparin
Author(s) -
Rajagopalan Priya,
Gilchrist Ian C.
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29361
Subject(s) - bivalirudin , medicine , conventional pci , thrombus , heparin , optical coherence tomography , cardiology , stent , percutaneous coronary intervention , radiology , myocardial infarction
Key Points Use of optical coherence tomography (OCT) adds an assessment of thrombus burden remaining on stents after PCI for acute coronary syndromes. Potential variations in stent‐related thrombus burden can be documented by OCT as a function of peri‐procedural pharmacology supporting the use of OCT in future hypothesis testing. Bivalirudin remains a reliable and expensive alternative to heparin in cases of HIT or patients at high bleeding risk during transfemoral PCI.