Percutaneous coronary intervention in a patient with heparin resistance due to essential thrombocythaemia: a case report

Background  Coronary artery disease is uncommon in patients with essential thrombocythaemia (ET); therefore, no treatment strategies have been established. Case summary  A 68-year-old man visited our hospital with worsening effort angina complicated with ET. Coronary angiography (CAG) revealed moder...

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Bibliographic Details
Published in:European heart journal : case reports 2021-03, Vol.5 (3), p.ytab087
Main Authors: Okabe, Toshitaka, Yakushiji, Tadayuki, Isomura, Naoei, Ochiai, Masahiko
Format: Article
Language:English
Subjects:
Angina pectoris
Argatroban
Blood
Cardiac patients
Care and treatment
Case Report
Heparin
Medical examination
Planning
Thrombin
Transluminal angioplasty
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Summary:Background  Coronary artery disease is uncommon in patients with essential thrombocythaemia (ET); therefore, no treatment strategies have been established. Case summary  A 68-year-old man visited our hospital with worsening effort angina complicated with ET. Coronary angiography (CAG) revealed moderate stenosis of the left main trunk and left anterior descending artery (LAD). We planned to perform percutaneous coronary intervention (PCI) only after the patient’s platelet count had fallen below 600 000/μL. Platelet factor 4 levels were markedly elevated (355.0 ng/mL; the normal range is
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytab087