Left ventricular assist device implantation after plasma exchange for heparin-induced thrombocytopenia
Left ventricular assist device implantation after plasma exchange for heparin-induced thrombocytopenia
复制标题
血浆置换后左心室辅助装置植入治疗肝素诱导的血小板减少症
DOI：
10.1007/s10047-018-1055-0
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发表时间：
2018
影响因子：
1.3
通讯作者：
Matsumiya Goro
中科院分区：
文献类型：
--
作者：
Koizumi Shintaroh;Kohno Hiroki;Watanabe Michiko;Iwahana Togo;Maeda Takuma;Miyata Shigeki;Kobayashi Yoshio;Matsumiya Goro
治疗肝素诱导的血小板减少症患者可能具有挑战性，特别是当患者需要紧急心脏手术使用肝素抗凝时。我们在此报告一例61岁男性原发性扩张型心肌病伴肝素诱导的血小板减少症，在接受左心室辅助装置植入术前接受血浆置换以清除肝素诱导的血小板减少症抗体。手术采用心肺转流术和普通肝素进行。
Treating a patient with heparin-induced thrombocytopenia can be challenging particularly when the patient requires urgent cardiac surgery that uses heparin for anticoagulation. We herein report a case of a 61-year-old man with idiopathic dilated cardiomyopathy associated with heparin-induced thrombocytopenia and who underwent plasma exchange to remove heparin-induced thrombocytopenia antibodies before undergoing left ventricular assist device implantation. The surgery was performed using cardiopulmonary bypass and unfractionated heparin.