Extracorporeal membrane oxygenation with lepirudin anticoagulation for Wegener's granulomatosis with heparin-induced thrombocytopenia

被引:28
作者
Balasubramanian, SK [1 ]
Tiruvoipati, R [1 ]
Chatterjee, S [1 ]
Sosnowski, A [1 ]
Firmin, RK [1 ]
机构
[1] Glenfield Gen Hosp, Dept ECMO & Gardiac Surg, Leicester LE3 9QP, Leics, England
关键词
D O I
10.1097/01.mat.0000169123.21946.31
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Venovenous extracorporeal membrane oxygenation with lepirudin anticoagulation was successfully used for a complicated case of Wegener's granulomatosis and heparin-induced thrombocytopenia. Interestingly, a linear correlation was found between activated partial thromboplastin time and activated clotting time during lepirudin anticoagulation.
引用
收藏
页码:477 / 479
页数:3
相关论文
共 12 条
[1]   ANNOTATION - HEPARIN-INDUCED THROMBOCYTOPENIA [J].
CHONG, BH .
BRITISH JOURNAL OF HAEMATOLOGY, 1995, 89 (03) :431-439
[2]   Lepirudin anticoagulation for heparin-induced thrombocytopenia [J].
Deitcher, SR ;
Topoulos, AP ;
Bartholomew, JR ;
Kichuk-Chrisant, MR .
JOURNAL OF PEDIATRICS, 2002, 140 (02) :264-266
[3]   Pulmonary capillaritis and alveolar hemorrhage - Update on diagnosis and management [J].
Green, RJ ;
Ruoss, SJ ;
Kraft, SA ;
Berry, GJ ;
Raffin, TA .
CHEST, 1996, 110 (05) :1305-1316
[4]   Recombinant hirudin (Lepirndin) provides safe and effective anticoagulation in patients with heparin-induced thrombocytopenia -: A prospective study [J].
Greinacher, A ;
Völpel, H ;
Janssens, U ;
Hach-Wunderle, V ;
Kemkes-Matthes, B ;
Eichler, P ;
Mueller-Velten, HG ;
Pötzsch, B .
CIRCULATION, 1999, 99 (01) :73-80
[5]  
HARTMANN A, 1994, NEPHROL DIAL TRANSPL, V9, P316
[6]   Recombinant hirudin as an alternative for anticoagulation during cardiopulmonary bypass in patients with heparin-induced thrombocytopenia type II: A 1-year experience in 57 patients [J].
Koster, A ;
Hansen, R ;
Kuppe, H ;
Hetzer, R ;
Crystal, GJ ;
Mertzlufft, F .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2000, 14 (03) :243-248
[7]   Elimination of recombinant hirudin by modified ultrafiltration during simulated cardiopulmonary bypass: Assessment of different filter systems [J].
Koster, A ;
Merkle, F ;
Hansen, R ;
Loebe, M ;
Kuppe, H ;
Hetzer, R ;
Crystal, GJ ;
Mertzlufft, F .
ANESTHESIA AND ANALGESIA, 2000, 91 (02) :265-269
[8]  
KOZA MJ, 1993, SEMIN THROMB HEMOST, V19, P90
[9]   Wegener's granulomatosis [J].
Langford, CA ;
Hoffman, GS .
THORAX, 1999, 54 (07) :629-637
[10]   High survival in adult patients with acute respiratory distress syndrome treated by extracorporeal membrane oxygenation, minimal sedation, and pressure supported ventilation [J].
Lindén, V ;
Palmér, K ;
Reinhard, J ;
Westman, R ;
Ehrén, H ;
Granholm, T ;
Frenckner, B .
INTENSIVE CARE MEDICINE, 2000, 26 (11) :1630-1637