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Published in: Journal of Thrombosis and Thrombolysis 3/2008

01-12-2008

Anticoagulant therapy during cardiopulmonary bypass

Authors: Maryam Yavari, Richard C. Becker

Published in: Journal of Thrombosis and Thrombolysis | Issue 3/2008

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Abstract

The prothrombotic and hemostatic-altering environment that characterizes cardiac surgery in general and cardiopulmonary bypass (CPB) in particular is unparalleled in medicine, causing, in an alarming number of patients, both thrombotic and hemorrhagic events. Fundamentally, the primary objective of anticoagulant therapy during CPB is to prevent thrombin generation and its attendant prothrombotic, proinflammatory, and vascular effects. Though anticoagulation with unfractionated heparin has been the standard of care for more than a half-century for patients undergoing cardiac surgery, inherent limitations, and an unfavorable safety profile will increasingly stimulate the investigation and development of more safe and effective therapies.
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Metadata
Title
Anticoagulant therapy during cardiopulmonary bypass
Authors
Maryam Yavari
Richard C. Becker
Publication date
01-12-2008
Publisher
Springer US
Published in
Journal of Thrombosis and Thrombolysis / Issue 3/2008
Print ISSN: 0929-5305
Electronic ISSN: 1573-742X
DOI
https://doi.org/10.1007/s11239-008-0280-4

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