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- Title
Acute Left Main Occlusion During Percutaneous Coronary Intervention Associated with Heparin Induced Thrombocytopenia with Thrombosis Syndrome.
- Authors
Ziakas, Antonios; Gavrilidis, Stavros; Makris, Pantelis; Louridas, George
- Abstract
A 76-year-old male was admitted with Braunwald IIIB unstable angina and treated with intravenous heparin. Coronary angiography 20 days later revealed a severe stenosis in the left circumflex artery. During coronary angioplasty thrombus developed in the circumflex artery, extended in the left main and lead to its occlusion. Normal left coronary artery patency and flow were achieved after intracoronary and intravenous administration of abciximab, and multiple stenting. Platelet-count decrease and an ELISA assay documented the presence of heparin-induced thrombocytopenia with thrombosis syndrome (HITTS). HITTS should be suspected after acute thrombus formation during coronary angioplasty.(J Interven Cardiol 2005;18:139–144)
- Subjects
THROMBOCYTOPENIA; THROMBOSIS; HEPARIN; ARTERIAL occlusions; CARDIOLOGY; INTERNAL medicine
- Publication
Journal of Interventional Cardiology, 2005, Vol 18, Issue 2, p139
- ISSN
0896-4327
- Publication type
Article
- DOI
10.1111/j.1540-8183.2005.04070.x