Heparin-Induced Thrombocytopenia: A Review for Cardiac Anesthesiologists and Intensivists.
Publication
, Journal Article
Ivascu, NS; Fitzgerald, M; Ghadimi, K; Patel, P; Evans, AS; Goeddel, LA; Shaefi, S; Klick, J; Johnson, A; Raiten, J; Horak, J; Gutsche, J
Published in: J Cardiothorac Vasc Anesth
February 2019
Patients undergoing cardiovascular surgery may be exposed to heparin before surgery, during cardiopulmonary bypass (CPB), or in the immediate postoperative period. For this reason, cardiovascular surgery patients are at increased risk for heparin-induced thrombocytopenia (HIT), occurring in 1 to 3% of patients. The diagnosis of HIT can be difficult, if based solely on the development of thrombocytopenia, because cardiac surgical patients have multiple reasons to be thrombocytopenic. Several clinical scoring systems have been developed to reduce unnecessary testing and better define the pretest probability of HIT, which we will review in detail with a diagnostic algorithm. In addition, we will cover the prevention and treatment HIT.
Duke Scholars
Published In
J Cardiothorac Vasc Anesth
DOI
EISSN
1532-8422
Publication Date
February 2019
Volume
33
Issue
2
Start / End Page
511 / 520
Location
United States
Related Subject Headings
- Thromboembolism
- Thrombocytopenia
- Postoperative Complications
- Humans
- Heparin
- Critical Care
- Cardiopulmonary Bypass
- Anticoagulants
- Anesthesiology
- Anesthesiologists
Citation
APA
Chicago
ICMJE
MLA
NLM
Ivascu, N. S., Fitzgerald, M., Ghadimi, K., Patel, P., Evans, A. S., Goeddel, L. A., … Gutsche, J. (2019). Heparin-Induced Thrombocytopenia: A Review for Cardiac Anesthesiologists and Intensivists. J Cardiothorac Vasc Anesth, 33(2), 511–520. https://doi.org/10.1053/j.jvca.2018.10.035
Ivascu, Natalia S., Meghann Fitzgerald, Kamrouz Ghadimi, Prakash Patel, Adam S. Evans, Lee A. Goeddel, Shaz Shaefi, et al. “Heparin-Induced Thrombocytopenia: A Review for Cardiac Anesthesiologists and Intensivists.” J Cardiothorac Vasc Anesth 33, no. 2 (February 2019): 511–20. https://doi.org/10.1053/j.jvca.2018.10.035.
Ivascu NS, Fitzgerald M, Ghadimi K, Patel P, Evans AS, Goeddel LA, et al. Heparin-Induced Thrombocytopenia: A Review for Cardiac Anesthesiologists and Intensivists. J Cardiothorac Vasc Anesth. 2019 Feb;33(2):511–20.
Ivascu, Natalia S., et al. “Heparin-Induced Thrombocytopenia: A Review for Cardiac Anesthesiologists and Intensivists.” J Cardiothorac Vasc Anesth, vol. 33, no. 2, Feb. 2019, pp. 511–20. Pubmed, doi:10.1053/j.jvca.2018.10.035.
Ivascu NS, Fitzgerald M, Ghadimi K, Patel P, Evans AS, Goeddel LA, Shaefi S, Klick J, Johnson A, Raiten J, Horak J, Gutsche J. Heparin-Induced Thrombocytopenia: A Review for Cardiac Anesthesiologists and Intensivists. J Cardiothorac Vasc Anesth. 2019 Feb;33(2):511–520.
Published In
J Cardiothorac Vasc Anesth
DOI
EISSN
1532-8422
Publication Date
February 2019
Volume
33
Issue
2
Start / End Page
511 / 520
Location
United States
Related Subject Headings
- Thromboembolism
- Thrombocytopenia
- Postoperative Complications
- Humans
- Heparin
- Critical Care
- Cardiopulmonary Bypass
- Anticoagulants
- Anesthesiology
- Anesthesiologists