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Suspected Heparin-Induced Thrombocytopenia in Patients Receiving Extracorporeal Membrane Oxygenation

Bhupinder Natt1, Cameron Hypes2, Robyn Basken3

  • 1Division of Pulmonary, Allergy, Critical Care and Sleep, University of Arizona Medical Center, Tucson, Arizona.

The Journal of Extra-Corporeal Technology
|March 17, 2017
PubMed

Heparin-induced thrombocytopenia (HIT) is an immune reaction usually secondary to unfractionated heparin. Anticoagulation management is critical in patients while on extracorporeal membrane oxygenation (ECMO) to prevent thromboembolism and for the optimal functioning of the circuit. We identified five patients with respiratory failure at our hospital managed with ECMO in the last 2 years that were treated for HIT. A brief clinical course and their management are discussed. We also briefly review the literature for best evidence for management of such patients.

Keywords:
ECMOHITantibodyanticoagulation

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