Postendarterectomy heparin-induced thrombocytopenia. Case report.
Two episodes of massive bleeding from a sutured arteriotomy were observed within 30 hours after carotid endarterectomy. The patient had received anticoagulation therapy with heparin for 72 hours prior to surgery. A platelet count of 93,000/cu mm was demonstrated following the second hemorrhage. The potential problem of drug-induced thrombocytopenia following vascular surgery is discussed.
Rogers
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D000368:Aged; D002340:Carotid Artery Diseases / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000139:chemically induced; D004691:Endarterectomy; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010976:Platelet Count; D011183:Postoperative Complications; D012008:Recurrence; D013921:Thrombocytopenia / Q000097:blood / Q000139:chemically induced*
D006493:Heparin