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Rev. méd. Chile ; 145(9): 1213-1217, set. 2017. tab, graf
Article in Spanish | LILACS | ID: biblio-902610

ABSTRACT

Heparin-induced thrombocytopenia (HIT) is immune-mediated. It occurs more frequently with unfractionated heparin (UFH) than with low molecular weight heparins (LMWH). It is associated with thromboembolic rather than hemorrhagic events, as opposed to thrombocytopenia of other etiologies. The key in therapy is the cessation of heparin and the start of another anticoagulant. We report a 58 years old female with HIT secondary to the use of Enoxaparin who was successfully managed with Rivaroxaban. Our goal is to report a novel therapy and provide the evidence that supports its use.


Subject(s)
Humans , Female , Middle Aged , Thrombocytopenia/chemically induced , Thrombocytopenia/drug therapy , Heparin/therapeutic use , Factor Xa Inhibitors/therapeutic use , Rivaroxaban/therapeutic use , Anticoagulants/adverse effects , Risk Factors , Treatment Outcome , Venous Thrombosis/etiology , Venous Thrombosis/prevention & control
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