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Heparin has been in use for more than 40 years and is still an important agent for inhibiting plasma- and surface-bound thrombin. However, modifications have produced low-molecular-weight heparin, which has better bioavailability and perhaps other advantages over traditional heparin. Another direction of research in anticoagulation therapy has been toward new antithrombin- independent agents. Dr Carter describes the present status of studies on heparin and its derivatives, direct thrombin inhibitors, and ancrod, a component of snake venom.
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Cedric J. Carter
Cedric J. Carter, MB(Lond), FRCPC Dr Carter is associate professor of pathology and laboratory medicine, University of British Columbia, Vancouver.