Heparins crossover in percutaneous coronary interventions: a real issue with increasing rate of transradial procedures?

Aims: Current guidelines give a class III recommendation to the intraprocedural use of unfractionated heparin (UFH) in patients pretreated with enoxaparin. The aim of our study was to evaluate bleeding complications in patients who underwent percutaneous coronary interventions (PCIs) performed using intraprocedural crossover of heparin therapy.

Methods: We retrospectively evaluated all PCIs performed at two Italian hospitals since January 2011 to December 2013.