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Published on: February 26, 2013
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.
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.
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