| Heparin-bonded circuit with low systemic anticoagulation in a patient with heparin-induced thrombocytopenia: a case report. | |
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MedLine Citation:
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PMID: 10847957 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Heparin-induced thrombocytopenia (HIT) in patients undergoing open heart surgery has been reported with increasing frequency. Several strategies have been suggested to approach this difficult problem. However, the syndrome is still associated with significant morbidity and mortality. We describe an 82-year-old male with HIT who underwent coronary artery bypass grafting utilizing a heparin-bonded cardiopulmonary bypass circuit with very low systemic anticoagulation. Only one unit of packed red blood cells was transfused. The patient recovered uneventfully. This strategy is safe and effective, and, therefore, should be considered in patients with HIT. |
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Authors:
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P J O'Gara; G S Aldea; R J Shemin; O M Shapira |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of extra-corporeal technology Volume: 31 ISSN: 0022-1058 ISO Abbreviation: J Extra Corpor Technol Publication Date: 1999 Sep |
Date Detail:
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Created Date: 2000-04-28 Completed Date: 2000-04-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0267637 Medline TA: J Extra Corpor Technol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 142-4 Citation Subset: T |
Affiliation:
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Department of Cardiothoracic Surgery, Boston Medical Center, MA 02118, USA. paul.ogara@bmc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Anticoagulants / adverse effects* Cardiopulmonary Bypass / instrumentation* Heparin / adverse effects* Humans Male Thrombocytopenia / chemically induced* |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 9005-49-6/Heparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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