PMID- 21326679 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 0739-9529 (Print) IS - 1098-8963 (Electronic) IS - 0739-9529 (Linking) VI - 22 IP - 2 DP - 2005 Jun TI - Heparin in interventional radiology: a therapy in evolution. PG - 95-107 LID - 10.1055/s-2005-871864 [doi] AB - Interventional radiology techniques made possible by the antithrombotic properties of heparin have revolutionized treatment for a myriad of disorders. Newer low-molecular-weight heparins (LMWHs) offer several advantages over unfractionated heparin (UFH), especially in chronic settings. They are increasing in popularity for use during vascular procedures. However, LMWH shares limitations with UFH such as heterogeneity, nonspecificity, and induction of thrombocytopenia. These drawbacks have led to a search for the next generation of antithrombotic agents. Homogeneous drugs targeting specific coagulation cascade molecules are now available. The number of alternative anticoagulant drug combinations presents clinicians with a confusing array of choices. The strengths and weaknesses of UFH, LMWH, and direct antithrombin agents are presented. The promising future of LMWH and hirudins is discussed. FAU - Resnick, Stuart B AU - Resnick SB AD - Department of Radiology, New York Presbyterian/Columbia University Medical Center, New York, New York. FAU - Resnick, Stephanie H AU - Resnick SH FAU - Weintraub, Joshua L AU - Weintraub JL FAU - Kothary, Nishita AU - Kothary N LA - eng PT - Journal Article PL - United States TA - Semin Intervent Radiol JT - Seminars in interventional radiology JID - 8510974 PMC - PMC3036272 OTO - NOTNLM OT - Heparin OT - anticoagulation OT - bivalirudin OT - hirudin OT - interventional radiology OT - low-molecular-weight heparin EDAT- 2005/06/01 00:00 MHDA- 2005/06/01 00:01 PMCR- 2006/06/01 CRDT- 2011/02/18 06:00 PHST- 2011/02/18 06:00 [entrez] PHST- 2005/06/01 00:00 [pubmed] PHST- 2005/06/01 00:01 [medline] PHST- 2006/06/01 00:00 [pmc-release] AID - 10.1055/s-2005-871864 [doi] PST - ppublish SO - Semin Intervent Radiol. 2005 Jun;22(2):95-107. doi: 10.1055/s-2005-871864.