Heparin-induced thrombocytopenia in pregnancy: an interdisciplinary challenge-a case report and literature review
| Autor: | C. Vökt, D.A. Tsakiris, E. Mauermann, Thierry Girard, D. Tobler |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty 030204 cardiovascular system & hematology Fondaparinux 03 medical and health sciences 0302 clinical medicine Pregnancy Heparin-induced thrombocytopenia Medicine Humans 030212 general & internal medicine Intensive care medicine Adverse effect business.industry Heparin valvular heart disease Pregnancy Complications Hematologic Obstetrics and Gynecology medicine.disease Thrombocytopenia Anesthesiology and Pain Medicine Anesthesia Gestation Female business Tranexamic acid medicine.drug |
| Zdroj: | International journal of obstetric anesthesia. 26 |
| ISSN: | 1532-3374 |
| Popis: | Heparin-induced thrombocytopenia is a serious adverse event of anticoagulation with a high risk of thromboembolic complications. As a consequence, anticoagulants other than heparins must be administered. These may be unavailable, contraindicated during pregnancy, off-label, impractical due to short half-lives and, most importantly, may be unfamiliar to many anesthesiologists. Impaired coagulation bears the risk of adverse events following neuraxial procedures and of peripartum hemorrhage. We describe the case of heparin-induced thrombocytopenia in a 29-year-old pregnant woman at 27weeks of gestation with severe valvular heart disease. |
| Databáze: | OpenAIRE |
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