{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:23:16Z","timestamp":1761578596876},"reference-count":33,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2016,1,13]],"date-time":"2016-01-13T00:00:00Z","timestamp":1452643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"the Chinese Government National Key R&D Project for the 12th Five-Year Plan","award":["2011BAI11B07","2012ZX093016-002"],"award-info":[{"award-number":["2011BAI11B07","2012ZX093016-002"]}]},{"name":"Salubris Pharmaceutical Co. (Shenzhen, China)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Being female is an independent predictor of adverse events during percutaneous coronary interventions (PCI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the safety and efficiency of bivalirudin during emergency PCI in female patients with acute myocardial infarction (AMI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study was a subgroup analysis of the randomized Bivalirudin in Acute Myocardial Infarction vs. Heparin and GPI plus Heparin (BRIGHT) trial. A total of 392 female patients enrolled in the BRIGHT trial were assigned to receive bivalirudin with post\u2010procedure dose infusion (<jats:italic>n<\/jats:italic>\u2009=\u2009127) or heparin with or without tirofiban (<jats:italic>n<\/jats:italic>\u2009=\u2009265). The primary efficiency endpoint was 30\u2010day net adverse clinical events (NACEs). The secondary efficiency endpoints were 30\u2010day major cardiac and cerebral events (MACCEs) and bleeding events defined according to Bleeding Academic Research Consortium (BARC) definitions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For female patients, bivalirudin treatment was associated with significantly lower incidences of 30\u2010day NACEs (6.3% vs. 21.5%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), any bleeding (2.4% vs. 12.8%, <jats:italic>P<\/jats:italic>\u2009=\u20090.001) and BARC 2\u20135 type bleeding (1.6% vs. 7.2%, <jats:italic>P<\/jats:italic>\u2009=\u20090.021) compared with the control regimen. The incidence of MACCEs (3.4% vs. 9.4%, <jats:italic>P<\/jats:italic>\u2009=\u20090.055) and stent thrombosis (0% vs. 1.1%, <jats:italic>P<\/jats:italic>\u2009=\u20090.229) were comparable between the two groups. Multivariate analysis showed that bivalirudin (OR: 0.245, 95% CI: 0.113\u20130.532, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), transradial access (OR: 0.119, 95% CI: 0.067\u20130.211, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and statin (OR: 0.254, 95% CI: 0.08\u20130.807, <jats:italic>P<\/jats:italic>\u2009=\u20090.02) were independent protective factors for 30\u2010day NACEs in female patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of bivalirudin during emergency PCI for AMI in female patients significantly reduced the bleeding risk with anticoagulation effects compared with heparin with or without tirofiban. \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26407","type":"journal-article","created":{"date-parts":[[2016,1,14]],"date-time":"2016-01-14T09:01:58Z","timestamp":1452762118000},"page":"608-615","source":"Crossref","is-referenced-by-count":8,"title":["The safety and effectiveness 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