Evidence map›Paper›PMID 38077819›Full record

ArticleResearch and practice in thrombosis and haemostasis2023

Cangrelor for cardiopulmonary bypass in delayed-onset heparin-induced thrombocytopenia: a case report.

Maxime B Durost, Raphaël Marlu, Nicolas Piliero, Alexandre Sebestyen, Damien Bedague

Open access · goldAbstract readCase Reports
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Maxime B DurostDepartment of Anesthesiology and Critical Care, Grenoble Alpes University Hospital, Grenoble, France.
Raphaël MarluDepartment of Biological Hematology, Grenoble Alpes University Hospital, Grenoble, France.
Nicolas PilieroDepartment of Cardiology, Grenoble Alpes University Hospital, Grenoble, France.
Alexandre SebestyenDepartment of Cardiac Surgery, Grenoble Alpes University Hospital, Grenoble, France.
Damien BedagueDepartment of Anesthesiology and Critical Care, Grenoble Alpes University Hospital, Grenoble, France.
Université Grenoble Alpes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anticoagulation for cardiopulmonary bypass (CPB) in cases of heparin-induced thrombocytopenia (HIT) is challenging as no convenient and proven alternative, such as heparin alone, exists. A "platelet anesthesia" concept using antiplatelet agent cangrelor with heparin has been successfully reported in this setting. Key Clinical Question: In cases of acute HIT, is CPB with cangrelor plus heparin effective and safe?. Clinical Approach: We report the case of a patient who developed, 2 weeks after patent foramen ovale (PFO) closure, a delayed-onset HIT complicated with carotid, popliteal, and PFO device thromboses that could not be controlled by argatroban anticoagulation and required urgent cardiac surgery. CPB for PFO occluder removal and popliteal thrombectomy were performed using cangrelor with heparin without complication. Neither a new thromboembolic event nor abnormal bleeding was noticed in the postoperative period. Conclusion: CPB using cangrelor with heparin seems to be an effective alternative for acute HIT.

Indexed as

cangrelorcardiopulmonary bypassheparinthrombocytopeniathrombosis

Identifiers

PMID38077819
PMCPMC10704493
OpenAlexW4387643147

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.