Thromboelastometry-guided anticoagulation reversal in a patient with ventricular assist device with intracranial hemorrhage.
Am J Emerg Med
; 41: 265.e5-265.e8, 2021 03.
Article
em En
| MEDLINE
| ID: mdl-33010991
ABSTRACT
Intracranial hemorrhage (ICH) is a known complication in patients with ventricular assist devices (VAD). We present a case of a 42-year-old male with a VAD and on warfarin who presented to the emergency department with ICH necessitating anticoagulant reversal. An attenuated dose of 15 units/kg of 4-factor prothrombin complex-concentrates (4F-PCC) was given and the patient's coagulation profile was subsequently assessed using rotational thromboelastometry (ROTEM®) to determine appropriateness of reversal. ROTEM® analysis showed adequate reversal at the time of assessment and the patient ultimately returned home without further functional deficits, highlighting the role of ROTEM® to guide anticoagulation reversal in the VAD patient population.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tromboelastografia
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Varfarina
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Fatores de Coagulação Sanguínea
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Coração Auxiliar
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Hemorragias Intracranianas
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Anticoagulantes
Limite:
Adult
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Humans
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Male
Idioma:
En
Revista:
Am J Emerg Med
Ano de publicação:
2021
Tipo de documento:
Article