Don't HIT me one more time: a case report of catheter-directed thrombolysis in a refractory heparin-induced thrombocytopenia-related acute limb ischemia

This case highlights the challenges of refractory HIT with life-threatening thrombosis, emphasizing the potential role of repeated IVIG treatment and fibrinolytic therapy in this context. Awareness the treatment options for HIT and refractory HIT is crucial for adequate management in vascular surgery.

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Publication Details

Journal
International Journal of Surgery Case Reports
Published
2026-02-17
DOI
https://doi.org/10.1097/rc9.0000000000000112
Primary Topic
Heparin-Induced Thrombocytopenia and Thrombosis
Type
article
Field-Weighted Citation Impact
0.00
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article

Don't HIT me one more time: a case report of catheter-directed thrombolysis in a refractory heparin-induced thrombocytopenia-related acute limb ischemia

Ype de Jong, Lieke Kerstjens, P L Den Exter, Joris J. Blok
International Journal of Surgery Case Reports
Heparin-Induced Thrombocytopenia and Thrombosis
article

Don't HIT me one more time: a case report of catheter-directed thrombolysis in a refractory heparin-induced thrombocytopenia-related acute limb ischemia

Ype de Jong, Lieke Kerstjens, P L Den Exter, Joris J. Blok
article en

Abstract

This case highlights the challenges of refractory HIT with life-threatening thrombosis, emphasizing the potential role of repeated IVIG treatment and fibrinolytic therapy in this context. Awareness the treatment options for HIT and refractory HIT is crucial for adequate management in vascular surgery.

International Journal of Surgery Case ReportsVol. 138(3)
Leiden University Medical Center (NL), Groene Hart Ziekenhuis (NL)
Openalex Percentile: Top 52%
Heparin-Induced Thrombocytopenia and Thrombosis
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