n Cardiovascular Journal of South Africa - Low-molecular weight heparins - the mainstay of anti-coagulant therapy : drug trends in cardiology




Extracted from text ... High-dose aprotinin reduces transfusion requirements in patients undergoing coronary artery bypass grafting, but the safety and effectiveness of smaller doses is unclear. Furthermore, patient selection criteria for optimal use of the drug are not well defined. Seven hundred and four first-time coronary artery bypass grafting patients were randomised to receive one of three doses of aprotinin (high, low and pump-prime only) or placebo. The patients were stratified according to risk of excessive bleeding. All three aprotinin doses were highly effective in reducing bleeding and transfusion requirements.1 Consistent efficacy was not, however, demonstrated in the subgroup of patients at low risk ..


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