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Herzinsuffizienz, VAD, Herztransplantation - FINeST

Herzinsuffizienz, VAD, Herztransplantation - FINeST

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<strong>VAD</strong>s: Antikoagulation<br />

1. Stufe: - 12 h postoperativ Heparin i.v.<br />

(ACT 160-180 s)<br />

2. Stufe: - Tirofiban ( Aggrastat ) ~ 0,5 mg/h<br />

3. Stufe: - Ersatz von Heparin durch<br />

Marcumar (PI 20-30% )<br />

- Aggrastat-Ersatz durch<br />

Clopidogrel 75 mg/d<br />

- ASS 100 mg/d<br />

4. Stufe: - Marcumar nach INR/Quick-Wert<br />

- ASS 300 mg/d<br />

2. Januar 2012

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