Orgaran during rotational atherectomy in the setting of heparin-induced thrombocytopenia

L P Hale1, K Smith, G A Braden

  • 1Section on Hematology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. phaleobi@earthlink.net

Heparin is considered necessary during percutaneous coronary interventions; however, heparin is contraindicated in patients with heparin-induced thrombocytopenia and/or heparin antibodies. We describe the successful use of the heparinoid Orgaran (danaparoid sodium) in addition to abciximab (ReoPro) in a patient with heparin antibodies who required rotational atherectomy.