Unfractionated Heparin for the Treatment of Venous Thromboembolism: Best Practices and Areas of Uncertainty

被引:19
|
作者
Cuker, Adam [1 ,2 ]
机构
[1] Univ Penn, Dept Med, Philadelphia, PA 19104 USA
[2] Univ Penn, Dept Pathol & Lab Med, Philadelphia, PA 19104 USA
来源
SEMINARS IN THROMBOSIS AND HEMOSTASIS | 2012年 / 38卷 / 06期
关键词
heparin; unfractionated heparin; venous thromboembolism; dosing; laboratory monitoring; PARTIAL THROMBOPLASTIN TIME; MOLECULAR-WEIGHT HEPARIN; DEEP-VEIN THROMBOSIS; CONTINUOUS INTRAVENOUS HEPARIN; ACUTE PULMONARY-EMBOLISM; MYOCARDIAL-INFARCTION; ANTICOAGULANT-THERAPY; SUBCUTANEOUS HEPARIN; INITIAL TREATMENT; ANTITHROMBIN-III;
D O I
10.1055/s-0032-1319770
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Nearly 100 years after its discovery, unfractionated heparin (UFH) remains a widely used anticoagulant for the treatment of venous thromboembolism (VTE) and several other thrombotic and prothrombotic conditions. Decades of experience and investigation have contributed to our knowledge of this agent, but crucial questions regarding its optimal use in clinical practice remain unanswered. This review will critically examine the evidence for dosing and laboratory monitoring of UFH in the management of VTE, and highlight areas of uncertainty and future research.
引用
收藏
页码:593 / 599
页数:7
相关论文
共 50 条
  • [41] Enoxaparin versus unfractionated heparin for venous thromboembolism prophylaxis in renally impaired ICU patients
    DeBiase, Christopher
    Giuliano, Christopher A.
    Doshi, Mitesh
    Ganoff, Michelle
    Alexander Paxton, Renee
    [J]. PHARMACOTHERAPY, 2021, 41 (05): : 424 - 429
  • [42] Venous Thromboembolism Prophylaxis with Enoxaparin Versus Unfractionated Heparin in Patients with Low Body Weight
    Kaylor, David Michael
    Wade, Regan Merrell
    Chappell, Kathryn Brinkley
    Niemann, Meredith Huff
    VanArsdale, Vanessa Marie
    [J]. PLASMATOLOGY, 2023, 17
  • [43] Low-molecular-weight or Unfractionated Heparin in Venous Thromboembolism: The Influence of Renal Function
    Trujillo-Santos, Javier
    Schellong, Sebastian
    Falga, Conxita
    Zorrilla, Vanessa
    Gallego, Pedro
    Barron, Manuel
    Monreal, Manuel
    [J]. AMERICAN JOURNAL OF MEDICINE, 2013, 126 (05): : 425 - U149
  • [44] Nomograms for the administration of unfractionated heparin in the initial treatment of acute thromboembolism - an overview
    Bernardi, E
    Piccioli, A
    Oliboni, G
    Zuin, R
    Girolami, A
    Prandoni, P
    [J]. THROMBOSIS AND HAEMOSTASIS, 2000, 84 (01) : 22 - 26
  • [45] DETERMINANTS OF THE ANTITHROMBOTIC RESPONSE TO A STANDARDIZED DOSE OF INTRAVENOUS UNFRACTIONATED HEPARIN IN PATIENTS WITH VENOUS THROMBOEMBOLISM
    PRINS, MH
    YOUNG, E
    HIRSH, J
    [J]. THROMBOSIS AND HAEMOSTASIS, 1993, 69 (06) : 768 - 768
  • [46] Utilization review of unfractionated heparin in the treatment of venous thromboembolic disease
    Chung, KK
    Browne, WT
    [J]. CRITICAL CARE MEDICINE, 2001, 29 (12) : A160 - A160
  • [47] HEPARIN AND VENOUS THROMBOEMBOLISM
    KAKKAR, VV
    [J]. THROMBOSIS AND HAEMOSTASIS, 1977, 38 (01) : 227 - 227
  • [48] Comparison of fixed-dose weight-adjusted unfractionated heparin and low-molecular-weight heparin for acute treatment of venous thromboembolism
    Kearon, Clive
    Ginsberg, Jeffrey S.
    Julian, Jim A.
    Douketis, James
    Solymoss, Susan
    Ockelford, Paul
    Jackson, Sharon
    Turpie, Alexander G.
    MacKinnon, Betsy
    Hirsh, Jack
    Gent, Michael
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 296 (08): : 935 - 942
  • [49] Venous Thromboembolism Prophylaxis in Neurocritical Care Patients: Are Current Practices, Best Practices?
    Sauro, K. M.
    Soo, A.
    Kramer, A.
    Couillard, P.
    Kromm, J.
    Zygun, D.
    Niven, D. J.
    Bagshaw, S. M.
    Stelfox, H. T.
    [J]. NEUROCRITICAL CARE, 2019, 30 (02) : 355 - 363
  • [50] Venous Thromboembolism Prophylaxis in Neurocritical Care Patients: Are Current Practices, Best Practices?
    K. M. Sauro
    A. Soo
    A. Kramer
    P. Couillard
    J. Kromm
    D. Zygun
    D. J. Niven
    S. M. Bagshaw
    H. T. Stelfox
    [J]. Neurocritical Care, 2019, 30 : 355 - 363