冠状动脉血运重建术期间鱼精蛋白过敏的比伐卢定管理。
Management of protamine allergy with bivalirudin during coronary artery revascularization.
机构信息
Department of Anesthesia, Herzzentrum Lahr/Baden, Lahr, Germany.
出版信息
Ann Thorac Surg. 2010 Jul;90(1):276-7. doi: 10.1016/j.athoracsur.2010.01.076.
Abstract
A patient with impaired left ventricular function was scheduled for coronary artery bypass grafting. The patient's history revealed a life-threatening allergy to fish proteins. Therefore, because of the threat of cross-reactivity to protamine, a standard anticoagulation protocol with heparin/protamine was disapproved. Instead, complete coronary artery revascularization was successfully performed off-pump using bivalirudin as the anticoagulant.
摘要
一位左心室功能受损的患者被安排进行冠状动脉旁路移植术。该患者的病史显示其对鱼蛋白有危及生命的过敏反应。因此，由于对鱼精蛋白发生交叉反应的威胁，肝素/鱼精蛋白的标准抗凝方案被否决。取而代之的是，使用比伐卢定作为抗凝剂，在非体外循环下成功地完成了完全冠状动脉血运重建。
Zotero 插件