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Risk of anaphylaxis from aprotinin re-exposure during LVAD removal and heart transplantation.

Publication ,  Journal Article
Milano, CA; Patel, VS; Smith, PK; Smith, MS
Published in: J Heart Lung Transplant
October 2002

Aprotinin has been shown to reduce transfusion requirements in re-operative cardiac surgery and in implantation of long-term left ventricular assist devices (LVAD). However, it is an antigenic polypeptide and re-exposure is associated with a small incidence of anaphylaxis. This report describes 2 cases of anaphylactic response to aprotinin when the agent was employed for both the LVAD implant and for the subsequent explant and cardiac transplant. Early re-exposure to just the test dose was associated with a significant incidence of anaphylaxis.

Duke Scholars

Published In

J Heart Lung Transplant

DOI

ISSN

1053-2498

Publication Date

October 2002

Volume

21

Issue

10

Start / End Page

1127 / 1130

Location

United States

Related Subject Headings

  • Surgery
  • Serine Proteinase Inhibitors
  • Myocardial Ischemia
  • Middle Aged
  • Male
  • Humans
  • Heart-Assist Devices
  • Heart Transplantation
  • Female
  • Device Removal
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Milano, C. A., Patel, V. S., Smith, P. K., & Smith, M. S. (2002). Risk of anaphylaxis from aprotinin re-exposure during LVAD removal and heart transplantation. J Heart Lung Transplant, 21(10), 1127–1130. https://doi.org/10.1016/s1053-2498(02)00395-9
Milano, Carmelo A., Vijay S. Patel, Peter K. Smith, and Mark Stafford Smith. “Risk of anaphylaxis from aprotinin re-exposure during LVAD removal and heart transplantation.J Heart Lung Transplant 21, no. 10 (October 2002): 1127–30. https://doi.org/10.1016/s1053-2498(02)00395-9.
Milano CA, Patel VS, Smith PK, Smith MS. Risk of anaphylaxis from aprotinin re-exposure during LVAD removal and heart transplantation. J Heart Lung Transplant. 2002 Oct;21(10):1127–30.
Milano, Carmelo A., et al. “Risk of anaphylaxis from aprotinin re-exposure during LVAD removal and heart transplantation.J Heart Lung Transplant, vol. 21, no. 10, Oct. 2002, pp. 1127–30. Pubmed, doi:10.1016/s1053-2498(02)00395-9.
Milano CA, Patel VS, Smith PK, Smith MS. Risk of anaphylaxis from aprotinin re-exposure during LVAD removal and heart transplantation. J Heart Lung Transplant. 2002 Oct;21(10):1127–1130.
Journal cover image

Published In

J Heart Lung Transplant

DOI

ISSN

1053-2498

Publication Date

October 2002

Volume

21

Issue

10

Start / End Page

1127 / 1130

Location

United States

Related Subject Headings

  • Surgery
  • Serine Proteinase Inhibitors
  • Myocardial Ischemia
  • Middle Aged
  • Male
  • Humans
  • Heart-Assist Devices
  • Heart Transplantation
  • Female
  • Device Removal