Document Detail


Can thromboelastography predict which patients with heparin-induced thrombocytopenia may suffer thrombotic complications of type II?
MedLine Citation:
PMID:  17632008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite the existence of several sensitive functional and antigen assays used for the diagnosis of heparin-induced thrombocytopenia (HIT), an additional assessment of the patient's hemostatic status, in order to predict the thrombotic complications of the malevolent HIT type II, has become necessary. Herein below, we present the findings of thromboelastography (TEG) in a post-cardiac-surgery patient with the clinical diagnosis of HIT type II and false negative tests for heparin antibodies. We have reached the conclusion that TEG may prove to be a useful supplementary method to predict those HIT patients who may suffer complications of HIT type II.
Authors:
Ilias A Kouerinis; Mahmoud El-Ali; Nikolaos Theakos; Panagiotis Dedeilias
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-13
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  32     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-16     Completed Date:  2008-02-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  544-6     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Evangelismos Hospital, Athens, Greece. ikouerinis@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Anticoagulants / adverse effects*
Coronary Artery Bypass
Enzyme-Linked Immunosorbent Assay / methods
Female
Heparin / adverse effects*
Humans
Mitral Valve / surgery
Postoperative Complications / etiology,  prevention & control
Predictive Value of Tests
Thrombelastography / methods*
Thrombocytopenia / chemically induced*,  diagnosis
Chemical
Reg. No./Substance:
0/Anticoagulants; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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