Bivalirudin is a synthetic 20 residue peptide (thrombin inhibitor) which reversibly inhibits thrombin. Once bound to the active site, thrombin cannot activate fibrinogen into fibrin, the crucial step in the formation of thrombus. It is administered intravenously. Because it can cause blood stagnation, it is important to monitor changes in hematocrit, activat...
For treatment of heparin-induced thrombocytopenia and for the prevention of thrombosis. Bivalirudin is indicated for use in patients undergoing percutaneous coronary intervention (PCI), in patients at moderate to high risk acute coronary syndromes due to unstable angina or non-ST segment elevation in whom a PCI is planned.
Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, United States
Lund University, Lund, Sweden
Clearwater Cardiovascular and Interventional Consultants, Clearwater, Florida, United States
Deborah Heart and Lung Center, Browns Mills, New Jersey, United States
Stony Brook Medicine, Stony Brook, New York, United States
New York University School of Medicine, New York, New York, United States
Black Hills Cardiovascular Research, Rapid City, South Dakota, United States
1 st Hosp. of Anhui Med Univ., Hefei, Anhui, China
Anhui Provincial Hosp., Hefei, Anhui, China
3rd Hosp. of Beijing Univ., Beijing, Beijing, China
Montreal Heart Institute, Montreal, Quebec, Canada
St. Paul´s Hospital Providence Health Care, Vancouver, Canada
Centre Hospitalier de Lyon, Bron, France
Dept.of Cardiovascular Sciences Policlinico Umberto I, Rome, Italy
Liverpool Heart and Chest Hospital, Liverpool, Merseyside, United Kingdom
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