[HSF] HIT and CPB

[Michael Firstenberg]

The other question is does this patient really have HITS?  Is the pf4 positive which i assume and someone (i.e. Someone who does not have to be there when you put them on pump) said 'hits pos' or did you do a serotonin release also (gold standard test i believe).   


Michael Firstenberg <msfirst at gmail.com>

-----Original Message-----
From: "EPS-CCV" <epsccv at arrakis.es>
To: OpenHeart-L at lists.hsforum.com
Sent: 6/1/2007 12:59 AM
Subject: Re: [HSF] HIT and CPB

Hal

Prostacyclin does not prevent antibodies forming / resistance developing, obviously. The reasons why we use it are its short half-life (epoprostenol 6 minutes) and the complete inhibition of the heparin-dependent platelet aggregation induced by HIT-II. That way you can use heparin "safely". 

Of course we'd prefer not to use heparin. The thing is that neither bivalirudin nor ECT & TAS Analyzer are available here. In addition, "our" protocol seems to be safe and effective.

Enrique P. de la Sota, FECTS
Madrid - Spain
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