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Table 1 Alternative anticoagulation in heparin-induced thrombocytopenia [115-119]

From: Renal replacement therapy in acute kidney injury: controversy and consensus

 

Danaparoid

Bivalirudin

Argatroban

Dosing

3,500 IU bolus, followed by 100 units/hour or 140 IU/hour without bolus

0.03-0.2 mg/kg per hour

Bolus 100 μg/kg followed by 0.1-0.5 μg/kg per minute

Monitoring

Anti-Xa activity 0.25-0.35 IU/mL (0.5-1.0 IU/mLa)

Target aPTT ratio 1.5 (−2.5a)

Target aPTT ratio 1.5 (−3.0a)

Main adverse events

Cross-reactivity with HIT-ab

No data

Anemia; accumulation in liver failure

  1. aIf systemic anticoagulation is required. aPTT, activated partial thromboplastin time; HIT-ab, heparin-incuded thrombocytopenia antibody.