Percutaneous coronary interventions in patients with heparin-induced thrombocytopenia.

Published

Journal Article (Review)

Accomplishing a successful percutaneous coronary intervention in a patient with a suspected or diagnosed heparin-induced thrombocytopenia (HIT) requires the selection of an appropriate alternative anticoagulant and a thorough assessment of bleeding and thrombotic risks. In this review, we suggest an evidence-based management algorithm that takes into account the clinical phase of HIT (acute, recent, and remote HIT) and the associated risk when patients present with acute coronary syndrome. The algorithm also integrates preventive measures directed at decreasing the bleeding risk associated with the antithrombotic and invasive therapies used for HIT and percutaneous coronary intervention.

Full Text

Duke Authors

Cited Authors

  • Jolicoeur, EM; Wang, T; Lopes, RD; Ohman, EM

Published Date

  • September 2007

Published In

Volume / Issue

  • 9 / 5

Start / End Page

  • 396 - 405

PubMed ID

  • 17877935

Pubmed Central ID

  • 17877935

Electronic International Standard Serial Number (EISSN)

  • 1534-3170

International Standard Serial Number (ISSN)

  • 1523-3782

Digital Object Identifier (DOI)

  • 10.1007/bf02938367

Language

  • eng