heparin

Decreased bleeding with radial access leaves little to bivalirudin for additional benefit

Original title:&nbsp;Bivalirudin or heparin in primary angioplasty performed through the transradial approach: results from a multicentre registry.&nbsp;Reference:&nbsp;Sciahbasi A et al. Eur Heart J: Acute Cardiovasc Care. Epub ahead of print. Bivalirudin benefit has been demonstrated in terms of bleeding; however when primary angioplasty is performed by radial access this information is not clear. To get<a href="https://solaci.org/en/2014/01/31/n-4201/" title="Read more" >...</a>

Bivalirudin, effective in the pre-hospitalization phase of infarction

Original title:&nbsp;Bivalirudin Started during Emergency Transport for Primary PCI.&nbsp;Reference:&nbsp;Philippe G. Steg, et;al. NEJM 2013; Octubre 30:1-11 Primary PCI is the preferred treatment for AMI within the first 12 hours of symptom onset and outcomes have been improving with the incorporation of new strategies and technology. This study randomized 2218 STEMI patients started with bivalirudin during<a href="https://solaci.org/en/2013/11/05/n-3928/" title="Read more" >...</a>

Low cardiac mortality with bivalirudin beyond the reduction in major bleeding

Original title:&nbsp;Reduction in Cardiac Mortality with Bivalirudin in Patients With and Without Major Bleeding: The HORIZONS-AMI Trial.&nbsp;Reference:&nbsp;Gregg W. Stone et al. J Am Coll Cardiol. Epub ahead of print The HORIZONS -AMI study included 3602 patients experiencing ST &nbsp;segment elevation myocardial infarction received primary angioplasty, resulting in lower mortality at 30 days and three years<a href="https://solaci.org/en/2013/10/21/n-3858/" title="Read more" >...</a>

Transradial access plus bivalirudin, the best combination to reduce bleeding

Original title:&nbsp;Comparison of bivalirudin and radial access across a spectrum of preprocedural risk of bleeding in percutaneous coronary intervention: Analysis from the National Cardiovascular Data Registry.&nbsp;Reference:&nbsp;Baklanov DV et al. Circ Cardiovasc Interv. 2013, article in press. Bleeding complications are clearly associated to mortality increase and two of the current best strategies to reduce bleeding are<a href="https://solaci.org/en/2013/08/15/n-3522/" title="Read more" >...</a>

The Importance of TIMI 3 flow in primary angioplasty

Original title:&nbsp;Predicitors of suboptimal TIMI flow alter primary angioplasty for acute myocardial infarction: results from the HORIZON-AMI trial.&nbsp;Reference:&nbsp;Adriano Caixeta et al. &nbsp;Eurointervention 2013;9:220-227 Primary angioplasty showed greater efficacy than thrombolytics but one out of every four patients cannot achieve TIMI 3 flow. The Horizons-AMI trial randomized 3,602 patients to receive bivalirudin or heparin plus inhibitors<a href="https://solaci.org/en/2013/07/05/n-3403/" title="Read more" >...</a>

Bivalirudin reduces bleeding complications in carotid angioplasty

Original title:&nbsp;Hemorrhagic and ischemic outcomes after bivalirudin versus unfractionated heparin during carotid artery stenting: A propensity score analysis from the NCDR.&nbsp;Reference:&nbsp;Wayangankar SA et al. Circ Cardiovasc Interv. 2013;Epub ahead of print. Bivalirudin is a direct thrombin inhibitor that has shown similar efficacy with a better safety profile in the context of coronary angioplasty. However, its<a href="https://solaci.org/en/2013/04/24/n-2899/" title="Read more" >...</a>

Prasugrel is not as effective as Ticagrelor in acute myocardial infarction. 

Original title:&nbsp;Comparison of Prasugrel and Ticagrelor loading doses in STEMI patients: The Rapid Activity of Platelet Inhibitor Drugs (RAPID) primary PCI Study.&nbsp;Reference:&nbsp;Guido Parodi et al. J Am Coll Cardiol 2013. Article in press. Current guidelines recommend the use of prasugrel or ticagrelor in patients with ST elevation acute coronary syndromes who are due to receive<a href="https://solaci.org/en/2013/04/01/n-2787/" title="Read more" >...</a>

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