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Eur J Cardiothorac Surg 2007;32:544-546. doi:10.1016/j.ejcts.2007.05.026
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Can thromboelastography predict which patients with heparin-induced thrombocytopenia may suffer thrombotic complications of type II?

Ilias A. Kouerinisa,*, Mahmoud El-Alib, Nikolaos Theakosa, Panagiotis Dedeiliasa

a Department of Cardiac Surgery, Evangelismos Hospital, Athens, Greece
b Hematology Laboratory, Evangelismos Hospital, Athens, Greece

Received 27 February 2007; received in revised form 9 May 2007; accepted 31 May 2007.

* Corresponding author. Address: Doukissis Plakentias 46, Melissia, Athens, Greece. Tel.: +30 6932 71 31 71; fax: +30 210 7224449. (Email: ikouerinis{at}hotmail.com).

Despite the existence of several sensitive functional and antigen assays used for the diagnosis of heparin-induced thrombocytopenia (HIT), an additional assessment of the patient's hemostatic status, in order to predict the thrombotic complications of the malevolent HIT type II, has become necessary. Herein below, we present the findings of thromboelastography (TEG) in a post-cardiac-surgery patient with the clinical diagnosis of HIT type II and false negative tests for heparin antibodies. We have reached the conclusion that TEG may prove to be a useful supplementary method to predict those HIT patients who may suffer complications of HIT type II.

Key Words: Heparin-induced thrombocytopenia • Thromboelastography • CPB complications • ELISA




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I. A. Kouerinis, A. Kourtesis, M. El-Ali, T. Sergentanis, A. Plagou, M. Argiriou, N. Theakos, and A. Giannakopoulou
Heparin induced thrombocytopenia diagnosis in cardiac surgery: is there a role for thromboelastography?
Interactive CardioVascular and Thoracic Surgery, August 1, 2008; 7(4): 560 - 563.
[Abstract] [Full Text] [PDF]


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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.