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CARDIOVASCULAR ANESTHESIA

Hemostatic Analysis of a Patient Undergoing Off-Pump Coronary Artery Bypass Surgery with Argatroban Anticoagulation

Derek R. Kieta, MD^*, Andrew T. McCammon, MD^*, William L. Holman, MD, and Vance G. Nielsen, MD^*

Departments of *Anesthesiology and Surgery, The University of Alabama at Birmingham

Address correspondence and reprint requests to Vance G. Nielsen, MD, Department of Anesthesiology, The University of Alabama at Birmingham, 619 South 19th St., Birmingham, Alabama 35249-6810. Address e-mail to vance.nielsen{at}ccc.uab.edu

IMPLICATIONS: This case describes the impact of argatroban and off-pump coronary revascularization on hemostasis as assessed by conventional hemostatic measures and Thrombelastography ® in a patient with heparin-induced thrombocytopenia.

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