Enoxaparin heparin induced thrombocytopenia
Common Questions and Answers about Enoxaparin heparin induced thrombocytopenia
lovenox
It turns out that portal vein and superior mesenteric vein are thrombosed. They put her on enoxaparin and wanted her to rest for 5 days until the next control. She refused to be put on heparin or warfarin because of her history of gastrointestinal bleeding and recent surgery. We've been told thrombectomy would be extremely risky, given her medical history.
I read somewhere enoxaparin only prevents further occlusion of the vein and does not lyse existing clot.
In one study, 50 women with thrombophilia (including 20 factor V Leiden heterozygotes) and recurrent pregnancy loss were treated with enoxaparin throughout 61 subsequent pregnancies. The live birth rate was 75% with enoxaparin prophylaxis, compared to 20% in prior untreated pregnancies [Brenner et al 2000].
continue through with warfarin, or to stop the warfarin and bridge in between with enoxaparin or heparin (as snconorm had done).
http://www.circ.ahajournals.org/cgi/content/full/116/22/2531
So continuing through with warfarin seems to be the newer strategy.
What would NOT be done is to stop anticoagulation altogether.
The biggest risk is that of bleeding, as Ken says. Another is heparin induced thrombocytopenia (HIT), where an autoimmune response kills the platelets.
I am 27 weeks pregnancy and have dvt, start to using CLEXANE(ENOXAPARIN) I am really worried is there any harm to my baby
Thanks & Rgards
Okay so I am 37+4 and I have been on Heparin for a little over a week now and was on lovenox since I found out I was pregnant due to a DVT I had back in June of 2012 after gallbladder surgery. My question is can I request to be induced? Its been stressful and I'm worried about going into labor naturally and not being able to have an epidural or having complications due to having to be on this medication. Does anyone think I would be able to be induced because of this risk factor?
I was hospitalized due to severe headache, nausea and vomiting and my hematologist told me it was HIT (heparin induced thrombocytopenia) but not convinced the clot from my head was from HIT bec MRI said it is chronic. I have migraines, episodes of dizziness on and off.My repeat MRI showed the clot is still there. My hypercoagulation workup result was normal. All i want to know is there any prevention to this kind of disease knowing that all my coagulation workup was normal?
What are the risks to the baby after the heparin is stopped and should she be induced after stopping the heparin?
I was induced at 39 weeks with my first and I will be induced this Sunday with my second child, also at 39w. I would recommend taking the heparin because induction contractions are much stronger and more painful. Most people (but certainly not all) get an epidural if they are being induced. If you end up not wanting the epidural, great!
All labs have a different reference range, in one of medical books, it says the normal range is 150,000 to 300,000. Thrombocytopenia (reduced platelet count) is usually caused, but not always, by certain infections, some anemias. They play an important role in blood coagulation and thrombus (clot) formation.
I am not about the menstrual cycle causing this, I have heard that pregnancy can. Also, excessive alcoholic consumption can reduce the number as can the blood thinner, Heparin.
If for any reason your blood platelet count falls below normal, the condition is called thrombocytopenia. Normally, you have anywhere from 150,000 to 450,000 platelets per microliter of circulating blood. Because each platelet lives only about 10 days, your body continually renews your platelet supply by producing new platelets in your bone marrow.
Thrombocytopenia has many possible causes.
wow thank you CHIN_C for all the great details! I am a little less concerned now that the MRI seems unlikely to use iodine. We will be sure to ask if the IV is iodinated. I think maybe a little more history might also be helpful,
my mother's reaction to contrast was during a stress test it probably was a stress test before hip replacement surgery or a heart stent/angioplasty
Fast fwd 10 years she also gets a knee replacement surgery and in the hospital has heparin treatment to avoid clots.
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