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

Abstract
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.
AuthorsF-C Riess, B Dobritzsch, J Kormann
JournalThe Thoracic and cardiovascular surgeon (Thorac Cardiovasc Surg) Vol. 54 Issue 2 Pg. 140-2 (Mar 2006) ISSN: 0171-6425 [Print] Germany
PMID16541359 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anticoagulants
  • Hirudins
  • Recombinant Proteins
  • Heparin
  • lepirudin
Topics
  • Aged
  • Anticoagulants (adverse effects, therapeutic use)
  • Cardiopulmonary Bypass (methods)
  • Female
  • Follow-Up Studies
  • Heart Failure (complications, surgery)
  • Heparin (adverse effects)
  • Hirudins
  • Humans
  • Kidney Failure, Chronic (complications)
  • Myocardial Ischemia (surgery)
  • Recombinant Proteins (therapeutic use)
  • Thrombocytopenia (chemically induced, complications)

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