Cardiopulmonary bypass with danaparoid sodium and ancrod in heparin-induced thrombocytopenia

被引:10
作者
Kanagasabay, RR [1 ]
Unsworth-White, MJ [1 ]
Robinson, G [1 ]
Bevan, D [1 ]
Farnsworth, G [1 ]
Haxby, EJ [1 ]
Smith, EEJ [1 ]
机构
[1] Univ London St Georges Hosp, Dept Cardiothorac Surg, London, England
关键词
D O I
10.1016/S0003-4975(98)00511-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Heparin is the standard anticoagulant for patients undergoing cardiopulmonary bypass. There are some patients for whom heparin is unsuitable and ancrod (a defibrino-genating enzyme) has been used as an alternative. We present a patient with heparin-induced thrombocytopenia in whom treatment ancrod was ineffective. The addition of danaparoid sodium (a heparinoid) allowed safe cardiopulmonary bypass. We discuss the reasons for this and suggest that the combination of ancrod and danaparoid sodium is a logical one in such cases. (C) 1998 by The Society of Thoracic Surgeons.
引用
收藏
页码:567 / 569
页数:3
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