Table 6. Summary of the medical treatment of heparin induced thrombocytopenia (HIT) using direct thrombin inhibitors.
Medication | Initial infusion dose (µg/kg/min) | Treatment duration (days) | Target ACT, lower range (seconds) | Target ACT, upper range (seconds) | Target aPTT, lower range (seconds) | Target aPTT, upper range (seconds) |
---|---|---|---|---|---|---|
Argatroban, median [IQR] | 0.2 [0.2–0.7] | 11 [8–36] | 165 [163–168]** | 190 [185–195]** | 50 [49–53] | 60 [60–60] |
Hirudin derivatives (all), median [IQR] | 5.0 [3.5–6.5]** | 4 [3–5]** | 180 [165–190] | 220 [210–260] | 45 [45–45]* | 50 [50–50]* |
Bivalirudin, median [IQR] | 8.0 [8.0–8.0]* | 2 [2–2]* | 190 [185–195]** | 260 [240–280]** | N/A | N/A |
Lepirudin, median [IQR] | 2.0 [2.0–2.0]* | 6 [6–6]* | 150 [150–150]* | 200 [200–200]* | 45 [45–45]* | 50 [50–50]* |
*, based on a single case report; **, based on two case reports. IQR, interquartile range; ACT, activated clotting time; aPTT, activated partial thromboplastin time.