Patienter, der fortsætter til en koronararterie- grafft- bypass (CABG) med brug af pumpe, skal fortsat have IV infusion med bivalirudin op til 1 time før operation, hvorefter infusionen afbrydes og patienten behandles med ufraktioneret heparin.
2 For patients who proceed to CABG surgery on pump, the IV infusion of bivalirudin should be continued until 1 hour prior to surgery after which the infusion should be discontinued and the patient treated with unfractionated heparin.