Low-molecular-weight heparin for prevention of thrombosis: Inverted role
dc.creator | Dailiana, Z. H. | en |
dc.creator | Malizos, K. N. | en |
dc.creator | Varitimidis, S. | en |
dc.creator | Hantes, M. | en |
dc.creator | Basdekis, G. | en |
dc.creator | Rigopoulos, N. | en |
dc.date.accessioned | 2015-11-23T10:24:59Z | |
dc.date.available | 2015-11-23T10:24:59Z | |
dc.date.issued | 2007 | |
dc.identifier | 10.1097/01.ta.0000233909.88264.43 | |
dc.identifier.issn | 225282 | |
dc.identifier.uri | http://hdl.handle.net/11615/26818 | |
dc.description.abstract | BACKGROUND: Heparin induced thrombosis (HIT) after low-molecular-weight (LMWH) administration for thrombosis prevention is a limb and life threatening condition. METHODS: Two previously healthy individuals, with nonviable forearm amputation and knee osteoarthritis, suffered from multiple arterial thromboses (>2 sites each) after postoperative administration of LMWH. RESULTS: Both patients suffered from thrombocytopenia on the first postoperative days (4-7) and had signs of arterial occlusions on the 9th and 10th postoperative days. The patient with the initially successful forearm replantation was finally amputated below the elbow, whereas the lower extremity of the patient with total knee arthroplasty and contralateral femoral artery occlusion was salvaged with foot fingers amputation only. CONCLUSIONS: Early recognition of the syndrome by monitoring daily platelet counts during heparin therapy is essential. In case of postheparin (LMWH or unfractionated) platelet decrease, heparin administration should be ceased after emergency testing for heparin induced antibodies. When HIT syndrome is confirmed to have occurred, heparin/LMWH must be replaced with thrombin-specific inhibitors. © 2007 Lippincott Williams & Wilkins, Inc. | en |
dc.source | Journal of Trauma - Injury, Infection and Critical Care | en |
dc.source.uri | http://www.scopus.com/inward/record.url?eid=2-s2.0-36048930093&partnerID=40&md5=71f0fab0a47ccab152a2721b3c9d3af3 | |
dc.subject | Heparin-induced thrombocytopenia/thrombosis | en |
dc.subject | LMWH | en |
dc.subject | Orthopedics | en |
dc.subject | Trauma | en |
dc.subject | Whiteclot syndrome | en |
dc.subject | heparin | en |
dc.subject | low molecular weight heparin | en |
dc.subject | thrombin inhibitor | en |
dc.subject | adult | en |
dc.subject | aged | en |
dc.subject | arm amputation | en |
dc.subject | artery occlusion | en |
dc.subject | artery thrombosis | en |
dc.subject | article | en |
dc.subject | case report | en |
dc.subject | female | en |
dc.subject | femoral artery | en |
dc.subject | finger amputation | en |
dc.subject | forearm | en |
dc.subject | heparin induced thrombosis | en |
dc.subject | human | en |
dc.subject | knee osteoarthritis | en |
dc.subject | male | en |
dc.subject | patient monitoring | en |
dc.subject | postoperative period | en |
dc.subject | priority journal | en |
dc.subject | reimplantation | en |
dc.subject | thrombocyte count | en |
dc.subject | thrombocytopenia | en |
dc.subject | thrombosis | en |
dc.subject | total knee replacement | en |
dc.subject | Amputation | en |
dc.subject | Arthroplasty, Replacement, Knee | en |
dc.subject | Follow-Up Studies | en |
dc.subject | Heparin, Low-Molecular-Weight | en |
dc.subject | Humans | en |
dc.subject | Iliac Artery | en |
dc.subject | Middle Aged | en |
dc.subject | Platelet Count | en |
dc.subject | Postoperative Complications | en |
dc.subject | Risk Assessment | en |
dc.subject | Thrombectomy | en |
dc.subject | Thromboembolism | en |
dc.subject | Treatment Outcome | en |
dc.subject | Upper Extremity | en |
dc.title | Low-molecular-weight heparin for prevention of thrombosis: Inverted role | en |
dc.type | journalArticle | en |
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