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. 2019 Jan;8(1):19–31. doi: 10.21037/acs.2018.12.02

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.