Challenges in the Monitoring of Therapeutic Plasma Exchange during Acute Heparin-Induced Thrombocytopenia in Adults under ECMO

Autor: Nicolas Gendron, Candice Cavalie, Elie Kantor, Sophie Provenchère, Romain Sonneville, Vasiliki Gkalea, Marie-Charlotte Bourrienne, Dorothée Faille, Nadine Ajzenberg
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: TH Open, Vol 08, Iss 01, Pp e141-e145 (2024)
Druh dokumentu: article
ISSN: 2512-9465
DOI: 10.1055/a-2277-4404
Popis: Therapeutic plasma exchange (TPE) has been proposed to remove heparin-induced thrombocytopenia (HIT) antibodies before planned thoracic surgery in patients with acute HIT and to allow brief re-exposure to heparin during surgery. In patients on extracorporeal membrane oxygenation (ECMO), simultaneous administration of TPE and alternative nonheparin anticoagulant therapies is challenging.
Databáze: Directory of Open Access Journals