Method to stop bleeding, with short hemostasis duration using a low dose of anticoagulant
Disclosed is a method of reducing a dosage of an anticoagulant when performing a catheterization procedure at an access site of an artery. The method comprises administering the anticoagulant at a dose less than a conventional dose, reducing a contact time of blood at the access site of the artery, and maintaining the contact time of blood at a reduced level for a period of time during the catheterization procedure.
1. A method to attain patent hemostasis of a femoral artery when performing a catheterization procedure involving the femoral artery that is punctured at an access site thereof, comprising:
administering an anticoagulant, wherein a dosage of the anticoagulant is less than an equivalent of 50 units of unfractionated heparin per kg of body weight;
reducing a contact time of blood at the access site by increasing a velocity of blood in the femoral artery; and
maintaining the increased velocity of blood in the femoral artery for a period of time during the catheterization procedure;
attaining patent hemostasis of the femoral artery.
2. The method of claim 1 , wherein said velocity of blood is increased by increasing a flow of blood in the femoral artery.
3. The method of claim 2 , wherein the flow of blood in the femoral artery is increased by using a pump.
4. The method of claim 1 , wherein the period of time is less than 120 minutes.
5. The method of claim 4 , wherein the dosage of the anticoagulant is in a range from an equivalent of about 15 units of unfractionated heparin per kg of body weight to an equivalent of about 30 units of unfractionated heparin per kg of body weight.
6. The method of claim 4 , wherein the dosage of the anticoagulant is in a range from an equivalent of about 20 units of unfractionated heparin per kg of body weight to an equivalent of about 40 units of unfractionated heparin per kg of body weight.
7. The method of claim 4 , wherein the dosage of the anticoagulant is less than an equivalent of 25 units of unfractionated heparin per kg of body weight.
8. The method of claim 1 , wherein the period of time is less than 60 minutes.
9. The method of claim 8 , wherein the dosage of the anticoagulant is in a range from an equivalent of about 15 units of unfractionated heparin per kg of body weight to an equivalent of about 30 units of unfractionated heparin per kg of body weight.
10. The method of claim 8 , wherein the dosage of the anticoagulant is in a range from an equivalent of about 20 units of unfractionated heparin per kg of body weight to an equivalent of about 40 units of unfractionated heparin per kg of body weight.
11. The method of claim 8 , wherein the dosage of the anticoagulant is less than an equivalent of 25 units of unfractionated heparin per kg of body weight.
12. The method of claim 8 , wherein the anticoagulant is selected from a group consisting of: heparin, dalteparin, danaparoid, enoxaparin, unfractionated heparin, low molecular weight heparin, direct thrombin inhibitors including hirudin, argatroban, bivalirudin, and combinations or derivatives thereof.
13. The method of claim 1 , wherein the anticoagulant is selected from a group consisting of: heparin, dalteparin, danaparoid, enoxaparin, unfractionated heparin, low molecular weight heparin, direct thrombin inhibitors including hirudin, argatroban, bivalirudin, and combinations or derivatives thereof.