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Off-pump coronary artery bypass grafting for acute heparin-induced thrombocytopenia
T E Warkentin1, G L Dunn, I J Cybulsky
1Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.
The Annals of Thoracic Surgery
|November 28, 2001
Abstract:
Surgical revascularization of coronary arteries is problematic for patients with heparin-induced thrombocytopenia because the available nonheparin anticoagulants cannot be reversed pharmacologically. We used three-vessel off-pump coronary artery bypass grafting in a patient with heparin-induced thrombocytopenia, as it allowed us to use substantially lower doses of nonheparin anticoagulant (danaparoid sodium), compared with procedures requiring cardiopulmonary bypass.