Regulatory decisions pertaining to aprotinin may be putting patients at risk

PC Hébert, DA Fergusson, B Hutton, CD Mazer… - Cmaj, 2014 - Can Med Assoc
The Board advised that patients no longer be enrolled in the aprotinin group owing to an
increased risk of death. Massive bleeding rates tended to be lower among patients receiving …

The aprotinin story—is BART the final chapter?

WA Ray, CM Stein - New England Journal of Medicine, 2008 - Mass Medical Soc
The aprotinin story began in 1987, when investigators reported that the use of the drug in
patients undergoing repeat open-heart surgery decreased the need for blood transfusion by …

[HTML][HTML] A comparison of aprotinin and lysine analogues in high-risk cardiac surgery

DA Fergusson, PC Hébert, CD Mazer… - … England Journal of …, 2008 - Mass Medical Soc
Background Antifibrinolytic agents are commonly used during cardiac surgery to minimize
bleeding and to reduce exposure to blood products. We sought to determine whether …

Benefits and risks of aprotinin use during cardiac surgery

JL Kristeller, BP Roslund… - … : The Journal of Human …, 2008 - Wiley Online Library
Aprotinin is a serine protease inhibitor with antithrombotic, antifibrinolytic, and
antiinflammatory effects. It is effective in reducing bleeding and the need for blood …

Aprotinin—still courting controversy

DJ Hausenloy, D Pagano, B Keogh - The Lancet, 2008 - thelancet.com
Excessive postoperative bleeding during cardiac surgery calls for transfusions of allogeneic
blood products, and up to 5% of patients undergoing coronary artery bypass grafting and …

[HTML][HTML] The risk associated with aprotinin in cardiac surgery

DT Mangano, IC Tudor, C Dietzel - New England Journal of …, 2006 - Mass Medical Soc
Background The majority of patients undergoing surgical treatment for ST-elevation
myocardial infarction receive antifibrinolytic therapy to limit blood loss. This approach …

[HTML][HTML] Putting the record straight on aprotinin as safe and effective: results from a mixed treatment meta-analysis of trials of aprotinin

N Howell, E Senanayake, N Freemantle… - The Journal of thoracic …, 2013 - Elsevier
OBJECTIVE: Meta-analysis of small, randomized, placebo-controlled trials demonstrated
efficacy and safety of aprotinin. After highly publicized retrospective studies and the early …

Is there still a role for aprotinin in cardiac surgery?

NR Sodha, M Boodhwani, FW Sellke - Drug safety, 2007 - Springer
Cardiac surgery is associated with a systemic inflammatory response and systemic
coagulopathy, which can result in significant organ dysfunction and bleeding. Aprotinin, a …

Aprotinin in cardiac surgery patients: is the risk worth the benefit?

SC Stamou, MK Reames, E Skipper… - European journal of …, 2009 - academic.oup.com
Background: Aprotinin is the only Food and Drug Administration-approved agent to reduce
haemorrhage related to cardiac surgery and its safety and efficacy has been extensively …

Aprotinin may increase mortality in low and intermediate risk but not in high risk cardiac surgical patients compared to tranexamic acid and ε-aminocaproic acid–a …

P Meybohm, E Herrmann, J Nierhoff, K Zacharowski - PloS one, 2013 - journals.plos.org
Background To compare the effect of aprotinin with the effect of lysine analogues
(tranexamic acid and ε-aminocaproic acid) on early mortality in three subgroups of patients …