From: Argatroban in the management of heparin-induced thrombocytopenia: a multicenter clinical trial
Thrombotic complications | ||||||||
Thrombotic risk factor | Thrombosis at baseline | aPTT at baseline (sec) | Event during argatroban therapy | aPTT at diagnosis of the event (sec) | Dose of argatroban at diagnosis of thrombosis μg/kg/min | Anti-IIab (TT) at diagnosis of thrombosis (μg/ml) | Mean anti IIab (TT) (before diagnosis of thrombosis) (μg/ml) | |
Patient 4 | Obesity, lupus anticoagulant | DVT + PE | 51.9 | D7: DVT extension; D16: DVT extension (iliac vein) + blue toe syndrome; D29: PE recurrence | Mean aPTT ± SD | 1.7 | 0.64 | 0.43 ± 0.12 |
91.3 ± 6.3 | ||||||||
Patient 8a | Cancer; sepsis | PE | 37.1 | D4: new DTV (femoral vein); D16:thrombosis of the femoral and left external iliac vein + right jugular vein | 49.5 | 10.5 (for 1 hour) | 0.13 | 1.95 ± 2.82 |
Patient 9 | AF; cardiac insufficiency | Peripheral ischemia | 36.8 | D6: ischemia of the right lower limb | 61.6 | 1.75 | 1.06 | 0.87 ± 0.35 |
Patient 15 | Sepsis | Cerebral ischemic lesions | 39.9 | D14: right internal jugular thrombosis | 54.9 | 1.19 | 0.47 | 0.61 ± 0.12 |
Patient 17 | Obesity; AF; sepsis | Peripheral ischemia | 48.7 | D3: obstruction of the right femoral artery | 135.8 | 0.8 | 1.44 | 1.51 ± 0.31 |
Hemorrhagic complications | ||||||||
Bleeding risk factor | aPTT at baseline (sec) | Event during argatroban therapy | aPTT at diagnosis of the event (sec) | Dose of argatroban before bleeding μg/kg/min | Anti-IIab (TT) before bleeding (μg/ml) | Mean anti-IIab (TT) before bleeding (μg/ml) | ||
Patient 3 | Cardiac surgery; renal failure | 54.7 | Major bleeding at D21: hematuria | 63.9 | 0.62 | 0.61 | 0.43 ± 0.13 | |
Patient 8 | Acute renal failure; hepatic insufficiency; gastric ulcer; abdominal surgery; overdose | 37.1 | Minor bleeding after 2-hour infusion: gums and nose | 149.7 | Medication error | 6.15 | n.a. | |
Patient 14 | Renal failure; hepatic insufficiency; cardiac surgery | 63.9 | Minor bleeding at D6: hematemesis; major bleeding at D9: rectorrhagia | 66.6 | 0.12 | 0.66 | 0.67 ± 0.29 | |
Patient 17 | Acute renal failure; vascular surgery | 48.7 | Major bleeding at D5: puncture of a dialysis catheter | 133 | 0.32 | 1.53 | 1.52 ± 0.22 |