title: The Successful Use of Enoxaparin in the Lack of Bivalirudin in a Patient with Chronic Lymphocytic Leukemia and Thrombocytopenia who Underwent Percutaneous Coronary Revascularization.
abstract: We present a patient with chronic lymphocytic leukemia and thrombocytopenia who underwent a percutaneous coronary intervention. Such patients are at increased risk for ischemic and hemorrhagic complications and the choice of anticoagulant therapy should be made very carefully. Unfractionated heparin or glycoprotein IIb/IIIa inhibitors may cause thrombocytopenia and increased bleeding. Bivalirudin therapy is safer in such patients. However, bivalirudin is not always available. We used enoxaparin, a low-molecular-weight heparin, as an anticoagulant in a case in which bivalirudin was not available. No ischemic or hemorrhagic complications were seen in the follow-up period. We suggest that low-molecular-weight heparin may be effective and safe as an alternative to bivalirudin in patients with chronic lymphocytic leukemia and thrombocytopenia when bivalirudin is unavailable.
authors.affiliation: Ataturk University, Faculty of Medicine, Department of Cardiology, Erzurum, Turkey.
authors.forename: Enbiya
authors.initials: E
authors.lastname: Aksakal
authors.affiliation: Erzurum Regional Training and Research Hospital, Department of Cardiology, Erzurum, Turkey.
authors.forename: Taner
authors.initials: T
authors.lastname: Ulus
authors.affiliation: Ataturk University, Faculty of Medicine, Department of Cardiology, Erzurum, Turkey.
authors.forename: Mustafa Kemal
authors.initials: MK
authors.lastname: Erol
keywords: Chronic lymphocytic leukemia; coronary intervention; enoxaparin; thrombocytopenia