Abstract

0.62, 95% CI: 0.45-0.85) but remained inconclusive in randomized trials (OR 0.63, 95% CI: 0.20-2.01). MI rate was similar with both anticoagulants. CONCLUSION: Among patients undergoing transfemoral PCI, the benefit of bivalirudin over UFH monotherapy is driven by a significant reduction in major bleeding with similar rates of MACE. As PCI practice moves toward other bleeding avoidance strategies like radial approach, future studies should focus on the interaction between anticoagulant strategy and access site choice.

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