Can Heparin-Coated ECMO Cannulas Induce Thrombocytopenia in COVID-19 Patients?


Journal

Case reports in immunology
ISSN: 2090-6609
Titre abrégé: Case Reports Immunol
Pays: Egypt
ID NLM: 101622188

Informations de publication

Date de publication:
2021
Historique:
received: 03 12 2020
revised: 27 04 2021
accepted: 21 05 2021
entrez: 1 7 2021
pubmed: 2 7 2021
medline: 2 7 2021
Statut: epublish

Résumé

Extracorporeal membrane oxygenation (ECMO) is often used in the management of COVID-19-related severe respiratory failure. We report the first case of a patient with COVID-19-related ARDS on ECMO support who developed symptoms of heparin-induced thrombocytopenia (HIT) in the absence of heparin therapy. A low platelet count of 61 G/L was accompanied by the presence of circulating HIT antibodies 12 days after ECMO initiation. Replacement of the ECMO system including cannulas resulted in the normalization of the platelet count. However, the clinical situation did not improve, and the patient died 9 days later. Careful consideration of anticoagulant therapy and ECMO circuit, as well as routine HIT antibody testing, may prevent a fatal course in ECMO-supported COVID-19 patients.

Identifiants

pubmed: 34194852
doi: 10.1155/2021/6624682
pmc: PMC8184338
doi:

Types de publication

Case Reports

Langues

eng

Pagination

6624682

Informations de copyright

Copyright © 2021 Barbara Steinlechner et al.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

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Auteurs

Barbara Steinlechner (B)

Division of Cardiothoracic and Vascular Anesthesia, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University Vienna, Vienna, Austria.

Gabriele Kargl (G)

Division of Cardiothoracic and Vascular Anesthesia, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University Vienna, Vienna, Austria.

Christine Schlömmer (C)

Division of Cardiothoracic and Vascular Anesthesia, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University Vienna, Vienna, Austria.

Caroline Holaubek (C)

Division of Cardiothoracic and Vascular Anesthesia, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University Vienna, Vienna, Austria.

Georg Scheriau (G)

Division of Cardiothoracic and Vascular Anesthesia, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University Vienna, Vienna, Austria.

Sabine Eichinger (S)

Division of Hematology and Hemostaseology, Department of Medicine I, Medical University Vienna, Vienna, Austria.

Johannes Gratz (J)

Division of General Anesthesia and Intensive Care Medicine, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University Vienna, Vienna, Austria.

Bernhard Rössler (B)

Division of General Anesthesia and Intensive Care Medicine, Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University Vienna, Vienna, Austria.

Classifications MeSH