PMID- 3744133 OWN - NLM STAT- MEDLINE DCOM- 19861016 LR - 20180216 IS - 0301-0147 (Print) IS - 0301-0147 (Linking) VI - 16 Suppl 2 DP - 1986 TI - Intravenous and subcutaneous administration of Fragmin in deep venous thrombosis. PG - 25-9 AB - 54 patients with venographically verified deep venous thrombosis (DVT) were randomized to treatment with either intravenous infusions of 240 anti-Xa U/kg/12 h unfractionated heparin (UFH) or 240 or 120 anti-Xa U/kg/12 h of the low molecular weight heparin Fragmin. Repeated venographies showed improvement in 48% of the UFH-treated patients and 50 and 77%, respectively, in the Fragmin-treated patients. Progression was seen only in the UFH-treated patients and was observed in 11%. Two bleeding complications were seen in the Fragmin group in 2 patients receiving the very high dose of 240 anti-Xa U/kg/12 h. Anti-Xa activity in plasma and activated partial thromboplastin time (APTT) does not correlate in the Fragmin-treated patients. Fragmin was as effective as UFH in preventing the progress of thrombosis in DVT. In another study 120 anti-Xa U/kg Fragmin given subcutaneously 2 times daily to 13 patients with DVT resulted in adequate anti-Xa activity but with a tendency for accumulation of the Fragmin-induced activity. Subcutaneous injections of Fragmin 2 times daily also appears to prevent the progression of thrombosis effectively. FAU - Lockner, D AU - Lockner D FAU - Bratt, G AU - Bratt G FAU - Tornebohm, E AU - Tornebohm E FAU - Aberg, W AU - Aberg W FAU - Granqvist, S AU - Granqvist S LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PL - Switzerland TA - Haemostasis JT - Haemostasis JID - 0371574 RN - 9001-29-0 (Factor X) RN - 9005-49-6 (Heparin) RN - EC 3.4.21.6 (Factor Xa) SB - IM MH - Adult MH - Aged MH - Factor X/physiology MH - Factor Xa MH - Female MH - Heparin/*administration & dosage/pharmacology/therapeutic use MH - Humans MH - Injections, Intravenous MH - Injections, Subcutaneous MH - Male MH - Middle Aged MH - Partial Thromboplastin Time MH - Thrombophlebitis/*drug therapy EDAT- 1986/01/01 00:00 MHDA- 1986/01/01 00:01 CRDT- 1986/01/01 00:00 PHST- 1986/01/01 00:00 [pubmed] PHST- 1986/01/01 00:01 [medline] PHST- 1986/01/01 00:00 [entrez] AID - 10.1159/000215354 [doi] PST - ppublish SO - Haemostasis. 1986;16 Suppl 2:25-9. doi: 10.1159/000215354.