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Abstract: . . . Bilateral Renal artery Thrombosis 89 www.ums.ac.uk The rest of the biochemical work-up was normal. Doppler examination of renal arteries revealed total absence of blood flow bilaterally. Because of the recent exposure to unfractionated heparin during angiography, there was a strong suspicion of HITT syndrome, which was confirmed, with the identification of antibodies against . . . . . . heparin induced thrombocytopenia (HIT II). Wien Klin Wochenschr 2000; 112(12): 552-5. 8. Whelen S, Carr ME Jr. Use of recombinant hirudin in heparin-induced thrombocytopenia and thrombosis (HITT) and renal failure: a case report. angiology 2001; 52(10): 711-5. 9. Nowak G, Bucha E, Brauns I, Czerwinski R. Anticoagulation with r- hirudin in regular haemodialysis with heparin-induced thrombocytopenia (HIT . . . . . . commencing lepirudin the patient didnt experience any other thrombotic episode, haemodialysis sessions were uneventful and bleeding did not occur. It was surprising that partial recanalization of the right renal artery was gradually restored with the right kidney regaining partial function allowing the patient to become dialysis independent. conflIct of Interest The authors have no conflict of interest. . . . . . . in a patient with heparin induced thrombocytopenia (HIT II). Wien Klin Wochenschr 2000; 112(12): 552-5. 8. Whelen S, Carr ME Jr. Use of recombinant hirudin in heparin-induced thrombocytopenia and thrombosis (HITT) and renal failure: a case report. angiology 2001; 52(10): 711-5. 9. Nowak G, Bucha E, Brauns I, Czerwinski R. Anticoagulation with r- hirudin in regular haemodialysis with heparin-induced thrombocytopenia . . . . . . antibodies. These antibodies (most frequently IgG) activate platelets causing release of prothrombotic platelet-derived microparticles which in turn promote thrombin generation. Thrombosis appears to be due to heparin-like molecules (glycosaminoglycans) on the endothelial cell surface that, like heparin, can bind PF4. Immediate cessation of heparin is mandatory when HIT develops, but this will not stop . . . . . . thrombocytopenia and thrombosis (HITT) and renal failure: a case report. angiology 2001; 52(10): 711-5. 9. Nowak G, Bucha E, Brauns I, Czerwinski R. Anticoagulation with r- hirudin in regular haemodialysis with heparin-induced thrombocytopenia (HIT II). The first long-term application of r-hirudin in a haemodialysis patient. Wien Klin Wochenschr 1997; 109(10): 354-8. 10. Fischer KG, van de Loo A, Bohler J. Recombinant . . . --2768,6,231,3241,13842
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