Fondaparinux como alternativa a la anticoagulación en una paciente con dispositivo de asistencia ventricular y trombocitopenia inducida por heparina / Fondaparinux as an alternative anticoagulant in heparin-induced thrombocytopenia in the patient with a ventricular assist device
Rev. esp. anestesiol. reanim
; 60(9): 531-534, nov. 2013.
Article
in Spanish
| IBECS
| ID: ibc-116811
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
La trombocitopenia inducida por heparina es una reacción asociada al tratamiento con dicho fármaco. Se da hasta en el 3% de los pacientes tratados al menos 5 días. Su tratamiento es la suspensión, y si el paciente lo precisa, sustitución por otro anticoagulante. Presentamos el caso de un paciente trasplantado de corazón y con dispositivo de asistencia ventricular derecho que desarrolló trombocitopenia inducida por heparina en el postoperatorio. Se describe el manejo de la anticoagulación con fondaparinux. Se describen las complicaciones perioperatorias y el manejo de la anticoagulación (AU)
ABSTRACT
Heparin-induced thrombocytopenia is a reaction associated with the use of this drug. It occurs in up to 3% of patients treated for at least 5 days. Its treatment is to stop the heparin, and according to patient needs, replace it with another anticoagulant.We present a patient who, after a heart transplant, and the need for a ventricular assist device, required anticoagulation. The patient developed heparin-induced thrombocytopenia. Heparin was stopped and anticoagulation was replaced by fondaparinux. The peri-operative complications and the management of the coagulation are described (AU)
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Thrombocytopenia
/
Heparin
/
Cardiac Tamponade
/
Heparin Antagonists
/
Anticoagulants
Limits:
Adult
/
Female
/
Humans
Language:
Spanish
Journal:
Rev. esp. anestesiol. reanim
Year:
2013
Document type:
Article
Institution/Affiliation country:
Hospital de la Santa Creu i Sant Pau/España