Lepirudin for cardiopulmonary bypass surgery in a patient with terminal renal insufficiency and acute heparin-induced thrombocytopenia

被引：0
|
作者：
Riess, FC [1 ]
Dobritzsch, B [1 ]
Kormann, J [1 ]
机构：
[1] Albertinen Heart Ctr, D-22457 Hamburg, Germany
来源：
THORACIC AND CARDIOVASCULAR SURGEON | 2006年 / 54卷 / 02期
关键词：
hirudin; cardiopulmonary; bypass; renal failure; heparin-induced thrombocytopenia; hemofiltration;
D O I：
10.1055/s-2005-872806
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A patient with triple heart valve disease, heparin-induced thrombocytopenia, and terminal renal insufficiency was treated successfully using lepirudin for anticoagulation of cardiopulmonary bypass (CPB) and during the postoperative course. Anticoagulatory monitoring was performed with ecarin clotting time during CPB and aPTT postoperatively.
引用
收藏
页码：140 / 142
页数：3
相关论文
共 50 条
  • [31] Towards a diagnosis of heparin-induced thrombocytopenia after cardiopulmonary bypass
    Matthai, WH
    Cines, DB
    JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2004, 2 (11) : 1879 - 1881
  • [32] Cardiopulmonary bypass with danaparoid sodium and ancrod in heparin-induced thrombocytopenia
    Kanagasabay, RR
    Unsworth-White, MJ
    Robinson, G
    Bevan, D
    Farnsworth, G
    Haxby, EJ
    Smith, EEJ
    ANNALS OF THORACIC SURGERY, 1998, 66 (02): : 567 - 569
  • [33] Cardiopulmonary bypass with bivalirudin in type II heparin-induced thrombocytopenia
    Clayton, SB
    Acsell, JR
    Crumbley, AJ
    Shackelford, AG
    Uber, WE
    ANNALS OF THORACIC SURGERY, 2004, 78 (06): : 2167 - 2169
  • [34] HEPARIN-INDUCED THROMBOCYTOPENIA AND THROMBOSIS - PRESENTATION AFTER CARDIOPULMONARY BYPASS
    MUNVER, R
    SCHULMAN, IC
    WOLF, DJ
    ROSENGART, TK
    ANNALS OF THORACIC SURGERY, 1994, 58 (06): : 1764 - 1766
  • [35] Heparin-induced thrombocytopenia and cardiopulmonary bypass:: Perioperative argatroban use
    Lubenow, N
    Selleng, S
    Wollert, HG
    Eichler, P
    Müllejans, B
    Greinacher, A
    ANNALS OF THORACIC SURGERY, 2003, 75 (02): : 577 - 579
  • [36] Acute adrenal insufficiency associated with heparin-induced thrombocytopenia
    Poulain, G.
    Lambert, C.
    Coche, E.
    Hainaut, Ph.
    Lambert, M.
    ACTA CLINICA BELGICA, 2008, 63 (02) : 112 - 115
  • [37] Use of continuous venovenous hemotiltration for reversal of anticoagulation with lepirudin post-cardiopulmonary bypass in a patient with heparin-induced thrombocytopenia after heart transplantation
    Saravanan, Palanikurnar
    Rege, Kanchan
    Falter, Florian
    JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2007, 21 (02) : 269 - 272
  • [38] Lepirudin in heparin-induced thrombocytopenia and extracorporeal membranous oxygenation
    Dager, WE
    Gosselin, RC
    Yoshikawa, R
    Owings, JT
    ANNALS OF PHARMACOTHERAPY, 2004, 38 (04) : 598 - 601
  • [39] Use of lepirudin in patients with heparin-induced thrombocytopenia and renal failure requiring hemodialysis
    Dager, WE
    White, RH
    ANNALS OF PHARMACOTHERAPY, 2001, 35 (7-8) : 885 - 890
  • [40] Emergency cardiopulmonary bypass in a bilaterally nephrectomized patient with a history of heparin-induced thrombocytopenia:: Successful reexposure to heparin
    Selleng, S
    Lubenow, N
    Wollert, HG
    Müllejans, B
    Greinacher, A
    ANNALS OF THORACIC SURGERY, 2001, 71 (03): : 1041 - 1042
12345