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Use of bivalirudin for anticoagulation during implantation of total artificial heart.
[heparin-induced thrombocytopenia]
Heparin-induced
thrombocytopenia
presents
a
challenge
for
anticoagulation
techniques
during
cardiac
surgery
and
ventricular
assist
device
implantation
.
Bivalirudin
is
currently
recommended
for
use
during
cardiopulmonary
bypass
for
patients
with
heparin-induced
thrombocytopenia
but
requires
the
use
of
special
techniques
to
avoid
blood
stagnation
.
We
report
the
successful
use
of
bivalirudin
during
cardiopulmonary
bypass
for
implantation
of
the
Total
Artificial
Heart
with
late
operative
bleeding
likely
resulting
from
heavy
cell
saver
use
.
Diseases
Validation
Diseases presenting
"blood stagnation"
symptom
heparin-induced thrombocytopenia
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