This systematic review evaluated the evidence regarding the use of heparin during aorto-iliac arterial surgery. Overall methodological quality of the included studies was poor. From the 6 studies found, harmful effects of heparin were associated with increasing operation time, high blood loss and transfusion requirements. One study compared heparin to a direct thrombin antagonist during EVAR, showing no differences in clinical outcomes.
European Journal of Vascular & Endovascular Surgery 2012;44(4):359-367
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