Abstract

in the absence of a clinical response resulted in a longer LOS. Conversely, a strategy of up front bivalirudin led to shorter LOS driven primarily by decreased delays to VAD exchange in the absence of a clinical response. Conclusion: In this single center observation of hemodynamically stable patients with suspected VAD thrombosis, an initial strategy of bivalirudin was associated with greater clinical response rates and shorter delays to VAD exchange in the absence of response compared to alternative anticoagulation strategies.

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