Danaparoid for cardiopulmonary bypass in patients with previous heparin-induced thrombocytopenia

被引:17
作者
Gillis, S
Merin, G
Zahger, D
Deeb, M
Drenger, B
Hyam, E
Eldor, A
机构
[1] HADASSAH UNIV HOSP,MED CTR,DEPT CARDIOTHORAC SURG,IL-91120 JERUSALEM,ISRAEL
[2] HADASSAH UNIV HOSP,MED CTR,DEPT ANAESTHESIOL,IL-91120 JERUSALEM,ISRAEL
[3] HADASSAH UNIV HOSP MT SCOPUS,CORONARY CARE UNIT,JERUSALEM,ISRAEL
[4] TEL AVIV MED CTR & SCH MED,HAEMATOL INST,TEL AVIV,ISRAEL
关键词
danaparoid; cardiopulmonary bypass; heparin; thrombocytopenia;
D O I
10.1046/j.1365-2141.1997.2633080.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anticoagulation for cardiopulmonary bypass in patients with heparin-induced thrombocytopenia requires the use of other anticoagulants, We report a case in whom this was achieved using the heparinoid danaparoid (Orgaran). Based on our experience and a review of the literature, we provide guidelines for managing these rare patients. A danaparoid dose substantially lower than that recommended by the manufacturer may minimize bleeding complications.
引用
收藏
页码:657 / 659
页数:3
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