CABG without using heparin in a patient with heparin-induced thrombocytopenia
| Autor: | Temucin Noyan Ogus, Ozer Selimoglu, Altop S, Nail Omeroglu S, Yildirim T |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Bypass grafting Coronary Artery Bypass Off-Pump Coronary Angiography Angina Pectoris Fibrinolytic Agents Heparin-induced thrombocytopenia Medicine Humans business.industry Heparin Middle Aged medicine.disease Clopidogrel Thrombosis Thrombocytopenia Surgery medicine.anatomical_structure Male patient Hemorrhagic complication Anesthesia Cardiology and Cardiovascular Medicine business Artery medicine.drug Follow-Up Studies |
| Zdroj: | Journal of cardiac surgery. 21(3) |
| ISSN: | 0886-0440 |
| Popis: | Background: Despite the low incidence of heparin-induced thrombocytopenia and thrombosis, these two syndromes are much disputed in life-threatening conditions especially in cardiovascular surgery where heparin is routinely used. Nowadays a pharmacological agent that can exactly replace heparin does not exist. Many of the drugs called “alternative drugs to heparin” are associated with a high risk of hemorrhagic complications and an increased need of blood transfusions. Neither the use of heparin nor “alternative drugs to heparin” may be the best way to revascularize a patient with heparin-induced thrombocytopenia. Methods:Coronary artery bypass grafting without using heparin was performed in a 62-year-old male patient with heparin-induced thrombocytopenia. He received clopidogrel and acethyl salicylic acid for 2 days before operation. He was operated off-pump using special maneuvers. Results:He was discharged on postoperative day 5 after an uneventful course and is doing well in the sixth month postoperatively. Conclusions:According to our investigations in English literature, this surgical technique and coronary artery bypass grafting without using heparin is firstly described in this article. Increasing the number of cases will show the reliability and safety of this method. |
| Databáze: | OpenAIRE |
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