A combined approach to treat heparin-induced thrombocytopaenia before heart transplant | Zendy

Elena Sandoval | Zendy; Miquel Lozano | Zendy; Daniel Pereda | Zendy; Eduard Quintana | Zendy; Joan Cid | Zendy; Ana GarcíaÁlvarez | Zendy; Alejandro FernándezCisneros | Zendy; Manuel Castellá | Zendy

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A combined approach to treat heparin-induced thrombocytopaenia before heart transplant

Author(s) -

Elena Sandoval,

Miquel Lozano,

Daniel Pereda,

Eduard Quintana,

Joan Cid,

Ana GarcíaÁlvarez,

Alejandro FernándezCisneros,

Manuel Castellá

Publication year - 2020

Publication title -

interactive cardiovascular and thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.546

H-Index - 56

eISSN - 1569-9293

pISSN - 1569-9285

DOI - 10.1093/icvts/ivaa196

Subject(s) - medicine , heparin , heart transplantation , circulatory system , intensive care medicine , transplantation , mechanical heart , surgery , cardiology

Heparin-induced thrombocytopaenia (HIT) complicates the management of patients in need for mechanical circulatory support awaiting heart transplantation. The limited available treatment options are fraught with complications and limitations in their applicability. We report on the combined use of therapeutic plasma exchange therapy and intravenous immunoglobulin, used in 3 consecutive heparin-induced thrombocytopaenia-positive patients on temporary mechanical circulatory support awaiting urgent heart transplant. This combined approach allowed us to use heparin safely.

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