[Anesthesia for a patient with heparin-induced thrombocytopenia: a case report].
A 68 year-old man underwent a femoral-popliteal bypass surgery. He was diagnosed as heparin-induced thrombocytopenia (HIT) by platelet aggregation test when he underwent CABG 4 years ago. For the present surgery we administered nafamostat mesilate and urokinase for anticoagulation during surgery instead of heparin. After the operation, laboratory studies showed no thrombocytopenia.
Moroi
K
K
Department of Anesthesia, Tenri Hospital.
Shiomi
Y
Y
Kumano
H
H
Ishimura
N
N
Nishiwada
M
M
D000368:Aged; D000714:Anastomosis, Surgical; D000767:Anesthesia, Epidural; D000769:Anesthesia, Inhalation; D000925:Anticoagulants / Q000008:administration & dosage*; D001157:Arterial Occlusive Diseases / Q000601:surgery; D001550:Benzamidines; D005263:Femoral Artery / Q000601:surgery; D006146:Guanidines / Q000008:administration & dosage*; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D011150:Popliteal Artery / Q000601:surgery; D013921:Thrombocytopenia / Q000139:chemically induced*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D000925:Anticoagulants; D001550:Benzamidines; D006146:Guanidines; D006493:Heparin; D014568:Urokinase-Type Plasminogen Activator; C032855:nafamostat