Use of systemic bivalirudin with catheter-directed thrombolysis in a patient with heparin-induced thrombocytopenia: A case report

被引：6
作者：
Badreldin, Hisham A. [1 ,2 ]
Rimsans, Jessica [1 ]
Connors, Jean M. [3 ]
Wiviott, Stephen D. [4 ]
机构：
[1] Brigham & Womens Hosp, Div Pharm Serv, 75 Francis St, Boston, MA 02120 USA
[2] King Saud bin Abdulaziz Univ Hlth Sci, Riyadh, Saudi Arabia
[3] Harvard Med Sch, Brigham & Womens Hosp, Div Hematol, Boston, MA USA
[4] Harvard Med Sch, Brigham & Womens Hosp, Div Cardiovasc Med, Boston, MA USA
来源：
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2018年 / 91卷 / 03期
关键词：
bivalirudin; catheter-directed thrombolysis; heparin-induced thrombocytopenia; VENOUS THROMBOEMBOLIC EVENTS; MOLECULAR-WEIGHT HEPARIN; PULMONARY-EMBOLISM; DOSE-ESCALATION; THROMBOSIS; ALTEPLASE; TRIAL;
D O I：
10.1002/ccd.27368
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
In patients with submassive pulmonary embolism, the use of catheter-directed thrombolysis (CDT), using low-dose alteplase is associated with improvement in overall hemodynamics. The data for use of CDT in patients with heparin-induced thrombocytopenia are limited. We report a case of CDT in a patient with HIT using bivalirudin anticoagulation. Data of the use of bivalirudin and argatroban for systemic anticoagulation with CDT are limited.
引用
收藏
页码：E17 / E20
页数：4
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