A combined approach to treat heparin-induced thrombocytopaenia before heart transplant

Elena Sandoval, Miquel Lozano, Daniel Pereda, Eduard Quintana, Joan Cid, Ana García-Álvarez, Alejandro Fernández-Cisneros, Manuel Castellá
2020 Interactive Cardiovascular and Thoracic Surgery  
Heparin-induced thrombocytopaenia (HIT) complicates the management of patients in need for mechanical circulatory support awaiting heart transplantation. The limited available treatment options are fraught with complications and limitations in their applicability. We report on the combined use of therapeutic plasma exchange therapy and intravenous immunoglobulin, used in 3 consecutive heparin-induced thrombocytopaenia-positive patients on temporary mechanical circulatory support awaiting urgent
more » ... heart transplant. This combined approach allowed us to use heparin safely.
doi:10.1093/icvts/ivaa196 pmid:33155030 fatcat:3uzr3opwl5hq7igpjgzapzl7su