Graft-preserving intervention for treatment of heparin-induced thrombocytopenia secondary to a heparin-bonded renal artery bridging stent graft
Heparin Induced Thrombocytopenia (HIT) is a well-recognized phenomenon in patients receiving heparin. Scoring systems such as the 4T score along with platelet factor 4 (PF4) testing have improved recognition and clinical improvement is typically observed soon after the diagnosis is made, heparin adm...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687823000661 |
| Summary: | Heparin Induced Thrombocytopenia (HIT) is a well-recognized phenomenon in patients receiving heparin. Scoring systems such as the 4T score along with platelet factor 4 (PF4) testing have improved recognition and clinical improvement is typically observed soon after the diagnosis is made, heparin administration is ceased, and non-heparin anticoagulation is initiated. We report a case of HIT that was refractory to medical management in the setting of a recent fenestrated endovascular aneurysm repair which involved a heparin-bonded stent deployed in the left renal artery. In our patient, re-lining the heparin-bonded stent with a non-heparin bonded stent was associated with the resolution of his HIT. |
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| ISSN: | 2772-6878 |