Bleeding complications with platelet glycoprotein IIb/IIIa receptor antagonists.

Abstract:

:Platelet glycoprotein (GP) IIb/IIIa receptor antagonists are being used with increasing frequency in the settings of percutaneous coronary interventions and acute ischemic syndromes. The development of bleeding complications following GPIIb/IIIa blockade represents a significant limitation to its effectiveness. Baseline characteristics predictive of future bleeding events in patients receiving platelet GPIIb/IIIa receptor antagonist include older age, low body weight, evolving myocardial infarction, and female sex. In patients undergoing percutaneous coronary interventions with adjunctive GPIIb/IIIa inhibition, the risk of bleeding, particularly from the femoral vascular access site, may be reduced through the use of low-dose, weight-adjusted heparin (70 U/kg), avoidance of postprocedural heparin, and early vascular sheath removal. Strategies to reduce the incidence of bleeding complications in patients receiving GPIIb/IIIa inhibitors are proposed in this article.

journal_name

Curr Opin Hematol

authors

Madan M,Blankenship JC,Berkowitz SD

doi

10.1097/00062752-199909000-00011

keywords:

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

334-41

issue

5

eissn

1065-6251

issn

1531-7048

journal_volume

6

pub_type

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