Lifesaving citrate anticoagulation to bridge ineffective danaparoid [correction of to bridge to danaparoid] treatment.
case_report · Level V
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- Record sourced from PubMed, PMID 12022563.
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Abstract
A case of successful regional anticoagulation with trisodium citrate in a patient who developed heparin-induced thrombocytopenia while on continuous hemofiltration is described. Immediate citrate anticoagulation allowed for maintenance of extracorporeal circulation until effective danaparoid therapy could be established. Recommended plasma antifactor Xa levels for hemodialysis may be inadequate in some cases. Values similar to those in use during cardiopulmonary bypass could be required.
Medical subject headings
- Anticoagulants
- Chondroitin Sulfates
- Citric Acid
- Dermatan Sulfate
- Emergencies
- Heart Failure
- Hemofiltration
- Heparin
- Heparan Sulfate
- Thrombocytopenia