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pubmed-article:20686010pubmed:abstractTextDirect thrombin inhibitors are heparin alternatives for anticoagulation during cardiopulmonary bypass in patients with heparin-induced thrombocytopenia. We report a case of a large thrombus forming in the venous reservoir while using bivalirudin. We suggest that blood stasis associated with the full venous reservoir maintained in this case led to formation of a large thrombus at the top of the venous canister. Furthermore, activated clotting times may not accurately reflect the magnitude of anticoagulation when using direct thrombin inhibitors.lld:pubmed
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pubmed-article:20686010pubmed:articleTitleCase report: a thrombus in the venous reservoir while using bivalirudin in a patient with heparin-induced thrombocytopenia undergoing heart transplantation.lld:pubmed
pubmed-article:20686010pubmed:affiliationDivision of Cardiovascular Anesthesia, and Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, USA. wongjk2003@yahoo.colld:pubmed
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