علاج قلة الصفيحات الناجمة عن الهيبارين في حالات الـ HIT تحت الحاد B أو الـ HIT البعيد التي تستلزم تدخلاً تاجياً عبر الجلد

References

In patients with subacute HIT B or remote HIT who require PCI, the ASH guideline panel suggests treatment with bivalirudin rather than UFH (conditional recommendation, very low certainty in the evidence).

If bivalirudin is not available or if there is a lack of institutional experience, argatroban might be a suitable substitute.

Heparin is an acceptable alternative for patients with subacute HIT B or remote HIT if a suitable non-heparin anticoagulant is not available or clinician experience is lacking.

If heparin is used, exposure should be limited to the intraprocedural setting and should be avoided before and after the procedure.