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How would we treat our own heparin-induced thrombocytopenia during cardiac surgery?

Authors :
Koster A
Erdoes G
Nagler M
Birschmann I
Alberio L
Source :
Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2021 Jun; Vol. 35 (6), pp. 1585-1593. Date of Electronic Publication: 2020 Nov 05.
Publication Year :
2021

Abstract

The aim of this article is to provide a comprehensive review of the current state of knowledge on heparin-induced thrombocytopenia (HIT) in cardiac surgery. The management of HIT patients undergoing cardiac surgery with cardiopulmonary bypass is complex and requires an interdisciplinary and patient-tailored approach because available evidence is limited and current anticoagulation strategies have potential risks. An index case is used to discuss both the established and new perioperative therapeutic options in HIT patients undergoing urgent cardiac surgery with cardiopulmonary bypass.<br />Competing Interests: Conflict of Interest None.<br /> (Copyright © 2020 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1532-8422
Volume :
35
Issue :
6
Database :
MEDLINE
Journal :
Journal of cardiothoracic and vascular anesthesia
Publication Type :
Academic Journal
Accession number :
33342734
Full Text :
https://doi.org/10.1053/j.jvca.2020.11.002