Issue |
J Extra Corpor Technol
Volume 49, Number 1, March 2017
|
|
---|---|---|
Page(s) | 49 - 53 | |
DOI | https://doi.org/10.1051/ject/201749049 | |
Published online | 15 March 2017 |
Case Reports
Bivalirudin as an Alternative Anticoagulant for Cardiopulmonary Bypass During Adult Cardiac Surgery—A Change in Practice
* Clinical Perfusion Services, Mater Dei Hospital, Msida, Malta
† Department of General Surgery, Mater Dei Hospital, Msida, Malta
‡ Department of Cardiac Surgery, Mater Dei Hospital, Msida, Malta
Address correspondence to: Peter Gatt, MSc, Clinical Perfusion Services, Mater Dei Hospital, Tal-Qroqq, Msida 2090, Malta. E-mail: peter.a.gatt@gov.mt
Received:
4
October
2016
Accepted:
16
December
2016
The referral of patients for open heart surgery, presenting with a history of heparin hypersensitivity instigated a multidisciplinary effort to find an alternative anticoagulant to heparin. The various options mentioned in the literature call for changes in the routine practice of open heart surgery on cardiopulmonary bypass. These changes involve mostly the perfusion setup and conduct on bypass and to a lesser extent the anesthetic and surgical practice. Nevertheless, the different professions involved in the cardiac surgical firm discussed the proposed changes in a multidisciplinary effort. A new protocol was drafted, endorsed, and executed. The authors highlight these changes and their successful use in the subsequent case study.
Key words: anticoagulation / adult cardiac surgery / bivalirudin / cardiopulmonary bypass / protocol
© 2017 AMSECT
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