Off-Pump Coronary Artery Bypass Grafting in a Heparin-Induced Thrombocytopenia Type II Patient Using Hirudin.

Autor: Carr, Cornélia S., Rayner, Alan, Ponte, José, Desai, Jatin B.
Předmět:
Zdroj: Annals of Thoracic Surgery; Feb2005, Vol. 79 Issue 2, p696-698, 3p
Abstrakt: Heparin is routinely used for anticoagulation during cardiopulmonary bypass; it is fast acting, is easily monitored, and has an antidote. Heparin-induced thrombocytopenia (HIT) can be a life-threatening condition requiring an alternative anticoagulant (hirudin) if cardiac surgical intervention is considered. At full anticoagulant doses, the effects of hirudin are difficult to monitor; therefore, we present a case in which off-pump coronary artery bypass grafting was performed in an HIT patient in whom the lower doses of hirudin could safely be monitored with easily available tests. [Copyright &y& Elsevier]
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