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A combined approach to treat heparin-induced thrombocytopaenia before heart transplant

Elena Sandoval1, Miquel Lozano2, Daniel Pereda1

  • 1Department of Cardiovascular Surgery, ICCV, Hospital Clínic, Barcelona, Spain.

Interactive Cardiovascular and Thoracic Surgery
|November 6, 2020
PubMed

Heparin-induced thrombocytopaenia (HIT) complicates the management of patients in need for mechanical circulatory support awaiting heart transplantation. The limited available treatment options are fraught with complications and limitations in their applicability. We report on the combined use of therapeutic plasma exchange therapy and intravenous immunoglobulin, used in 3 consecutive heparin-induced thrombocytopaenia-positive patients on temporary mechanical circulatory support awaiting urgent heart transplant. This combined approach allowed us to use heparin safely.

Keywords:
Heparin-induced thrombocytopaeniaTherapeutic plasma exchangeTransplant

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