Percutaneous coronary intervention in a patient with heparin resistance due to essential thrombocythaemia: a case report.
Toshitaka OkabeTadayuki YakushijiNaoei IsomuraMasahiko OchiaiPublished in: European heart journal. Case reports (2021)
In patients with ET, it may be useful to measure platelet factor 4 before PCI and to monitor ACT during the procedure. When heparin resistance is suspected based on blood coagulation tests, infusion of direct thrombin inhibitor during PCI may be considered, with anticoagulation monitoring by ACT.
Keyphrases
- percutaneous coronary intervention
- st segment elevation myocardial infarction
- venous thromboembolism
- acute myocardial infarction
- acute coronary syndrome
- st elevation myocardial infarction
- coronary artery disease
- antiplatelet therapy
- atrial fibrillation
- coronary artery bypass grafting
- growth factor
- case report
- pulmonary embolism
- heart failure
- left ventricular