Treatment with lepirudin in heparin induced thrombocytopenia

被引:0
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作者
Nippert, M
de Maistre, E
Rodermann, M
Vançon, AC
Amrein, D
Brembilla-Perrot, B
Lecompte, T
Zannad, F
Aliot, E
机构
[1] CHU Nancy Brabois, Clin Chirurg Cardiovasc & Transplantat, F-54511 Vandoeuvre Les Nancy, France
[2] CHU Nancy Brabois, Dept Maladies Cardiovasc, F-54511 Vandoeuvre Les Nancy, France
[3] CHU Nancy Brabois, Serv Hematol Biol, F-54511 Vandoeuvre Les Nancy, France
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R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of a 71 old woman presenting a bilateral massive pulmonary embolism with intraventricular right thrombus complicating heparin induced thrombocytopenia (HIT) persistent after one month of conventional anticoagulant processing. We underline the effectiveness of lepirudin (Refludan) in the curative processing of pulmonary embolism allowing here to avoid a complex surgical thromboembolectomy. We evoke the place of this molecule in the curative therapeutic strategy of HIT with thrombotic phenomena.
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页码:1234 / 1238
页数:5
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