Successful use of bivalirudin for combined carotid endarterectomy and coronary revascularization with the use of cardiopulmonary bypass in a patient with an elevated heparin-platelet factor 4 antibody titer.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19299772.
- Also identified by DOI 10.1213/ane.0b013e318196cd51.
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Abstract
We report a combined carotid endarterectomy and coronary revascularization surgery with cardiopulmonary bypass using bivalirudin for systemic anticoagulation in a patient with a positive titer for the heparin-platelet factor 4 antibody. The patient experienced procedural success for both the carotid and coronary surgeries. Increased blood and blood product transfusion was required postoperatively.
Medical subject headings
- Anticoagulants
- Autoantibodies
- Cardiopulmonary Bypass
- Carotid Stenosis
- Coronary Artery Bypass
- Coronary Artery Disease
- Endarterectomy, Carotid
- Heparin
- Peptide Fragments
- Platelet Factor 4