Plasmapheresis in heparin-induced thrombocytopenia and thrombosis.

نویسندگان

  • L Manzano
  • M Yebra
  • J A Vargas
  • L Barbolla
  • M Alvarez-Mon
چکیده

To the Editor: Thrombosis associated with severe thrombocytopenia is an infrequent, but life-threatening side effect of heparin therapy, which can involve any venous or arterial territory including the cerebral circulation. The treatment of this serious complication has not been satisfactorily resolved. Recently, Becker and Miller reviewed heparin-induced thrombocytopenia with thromboembolism and found one case that had been treated successfully with plasmapheresis. In a recent report, we described a similar patient who also satisfactorily responded to plasmapheresis therapy. She was admitted to the hospital for right thrombophlebitis with pulmonary embolism. After 13 days on heparin therapy, new thrombotic events in pulmonary and peripheral circulation became evident, and the platelet count fell to 10,000/mm. We discontinued heparin administration, but the platelet count remained unchanged and the ischemic lesions increased progressively until plasmapheresis therapy was initiated. Shortly thereafter, the number of platelets returned to normal, and the ischemic alterations improved considerably.

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عنوان ژورنال:
  • Stroke

دوره 21 8  شماره 

صفحات  -

تاریخ انتشار 1990