Abstract
Patients receiving heparin therapy can develop heparin-induced thrombocytopenia (HIT). In HIT type I, a nonimmunological interaction of heparin and thrombocytes causes a reduction in platelet count with minor clinical implication. HIT type II, however, is considered to be a serious complication of heparin therapy. Antibodies against complexes of heparin and platelet factor 4 (PF-4) lead to an activation of thrombocytes and endothelial cells and an increase in thrombin production resulting in thrombocytopenia. In severe cases, life-threatening thromboembolic complications occur (review in [1]).
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References
Greinacher A (1999) Heparin-induzierte Thrombozytopenie — Pathogenese und Behandlung. Hämostaseologie 19:1–12.
Spadone D, Clark F, James E, Laster J, Hoch J, Silver D (1992) Heparin-induced thrombocytopenia in the newborn. J Vasc Surg 15:306–312.
Klement D, Rammos S, v. Kries R, Kirschke W, Kniemeyer H-W, Greinacher A (1996) Heparin as a cause of thrombus progression. Eur J Ped 155:11–14.
Potter C, Gill JC, Scott JP, McFarland JG (1992) Heparin-induced thrombocytopenia in a child. J Pediatr. 121:135–138.
Murdoch IA, Beattie RM, Silver DM (1993) Heparin-induced thrombocytopenia in children. Acta Paediatr 82:495–497.
Saxon BR, Black MD, Edgell D, Noel D, Leaker MT (1999) Pediatric heparin-induced thrombocytopenia: management with danaparoid (Orgaran). Ann Thorac Surg. 68: 1076–1078.
Sauer M, Gruhn B, Fuchs D, Altermann W, Zintl F (1998) Heparin-induzierte Thrombozytopenie Typ II im Rahmen einer Hochdosis-Chemotherapie mit anschließender Stammzellrescue. Klin. Pädiatr. 210:102–103.
Ranze O, Ranze P, Magnani HN, Greinacher A (1999) Heparin-induced thrombocytopenia in paediatric patients — a review of the literature and a new case treated with danaparoid sodium. Eur J Pediatr 158[Suppl 3]:S130–S133.
Schiffmann H, Unterhalt M, Harms K, Figulla HR, Völpel H, Greinacher A (1997) Erfolgreiche Behandlung einer Heparin-induzierten Thrombozytopenie Typ II im Kindesalter mit rekombinantem Hirudin. Monatsschr Kinderheilkd 145:606–612.
Wilhelm MJ, Schmid C, Kececioglu D, Möllhoff T, Ostermann H, Scheid H (1996) Cardiopulmonary bypass in patients with heparin-induced thrombocytopenia using Org 10172. Ann Thorac Surg 61:920–924.
Phelan BK (1983) Heparin-associated thrombosis without thrombocytopenia. Ann Intern Med 99:637–638.
Hach-Wunderle V, Kainer K, Krug B, Müller-Berghaus G, Pötzsch B (1994) Heparin-associated thrombosis despite normal platelet counts. Lancet 344:469–470.
Greinacher A (1999) Rekombinantes Hirudin zur weiteren Antikoagulation bei Heparininduzierter Thrombozytopenie. Hämostaseologie 19:19–29.
Greinacher A, Völpel H, Janssens U, Hach-Wunderle V, Kemkes-Matthes B, Eichler P, Mueller-Velten HG, Pötzsch B (1999) Recombinant hirudin (Lepirudin) provides safe and effective anticoagulation in patients with heparin-induced thrombocytopenia. Circulation 99:73–80.
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Severin, T. et al. (2001). HIT Type II without Thrombocytopenia in a 15-Year-Old Boy with Protein S Deficiency and Recurrent Deep Vein Thrombosis. In: Scharrer, I., Schramm, W. (eds) 30th Hemophilia Symposium Hamburg 1999. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18240-2_14
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DOI: https://doi.org/10.1007/978-3-642-18240-2_14
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